The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone (408) 737-9633 or email us at You can also complete the appointment request form below. Our office manager, Alison, will contact you to confirm your appointment and answer any questions or concerns you may have.

Please do not use this form to cancel or change an existing appointment.
*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.