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(562) 379-9744
Schedule Your Appointment Today
We are excited to see you! In order to best serve you, we have created this form to facilitate scheduling an appointment that best fits your schedule. Please complete all of the following questions. We will check our calendar availability and call you to coordinate and confirm a convenient time for you.
Name
*
First
Last
Email
*
Phone
Are You a New Patient?
*
Yes
No
What Type of Appointment Would You Like to Schedule?
*
New Braces Consultation
New Invisalign Consultation
Adjustments
Follow-Up Exam
What time of day do you prefer (Mornings or Afternoons)?
*
Mornings
Afternoons
Preferred Day of the Week?
Monday
Tuesday
Wednesday
Thursday
Friday
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Contact Details
(562) 379-9744
2700 N Bellflower Blvd #310
Long Beach, CA 90815