Request An Appointment

Your First Name *

Your Last Name *

Email *

Phone *

Date Requested *Click field above and view a full calendar.

Preferred Time *Please refer to our Office Information page for office hours.HHMMAM/PM

Appointment Type *

New Patient Cleaning/ExamNew Patient ConsultationNew Patient EmergencyExisting Patient Continuing CareBraces / Invisalign / Retainer ConsultOther

Doctor Preference

Any Available DentistDr. Rogelio Garcia DDS – General & Cosmetic DentistryDr. William Cheng DDS, MS – General & Cosmetic DentistryDr. Chris Strandburg DDS - General & Cosmetic DentistDr. Nicole Cheng DDS, MS – OrthodontistDr. Andrew Huynh DDS – Pediatric Dentist

Insurance Info (Carrier, ID, Birthdate)

Who Were You Referred By? It's important for us to thank them!

Comments

Request An Appointment

Help us by providing this basic information

Additional Info or Special Requests

Verification