Online Appointments

 
For your convenience, we will try to arrange your office visits for times that fit your schedule.   For routine dental services, cleanings, or to set a time for a consultation for reconstructive or cosmetic dentistry, please use this form to request an appointment.

          If you have a dental emergency, please call any time, night or day: 

Phone: (714) 731-0948 Pager: (949) 584-1646

otherwise.......

Please complete as much of form as possible, then click Request Appointment button at bottom of page.

Your Name:
Your Email Address:
Please note reason for appointment:

Be as specific or general as you like, (ie --"I NEED A CLEANING" or
"I would like to discuss options for fixing my teeth", etc...).

OFFICE HOURS
Monday 7 am - 1 pm or 1 pm - 7 pm
(alternating 11/29/99 is an am day)
Tuesday 8 am - 5 pm
(1 pm - 2 pm lunch)
Wednesday 8 am - 5 pm
(1 pm - 3 pm lunch & meeting)
Every 3rd Wed 7 am - 1 pm
Thursday 7:30 am - 1:30 pm

What time, (or range of time), is convenient for you?

Be as specific or general as you like,
(ie --"Monday 12/29/1997 at 11:15 PM" or
"Any Tuesday or Friday before 2:30 pm...", etc...).

Will this be your first visit to our office?  Yes No 
Please provide phone number(s) our office may contact you.
Home Phone:
Work Phone:
If you don't mind, please tell us how you heard about our office.

We check our email several times a day and will usually reply in 24 hours or less.