The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our San Jose dental office by phone @ 408-267-2303 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment. 

Office Hours
Monday: 8:00 - 7:00
Tuesday: 8:00 - 4:00
Wednesday: 8:00 - 7:00
Thursday: 7:00 - 4:00
Friday: 8:00 - 3:00

Saturday: 9:00 - 1:00 (By appointment only)

Please do not use this form to cancel or change an existing appointment.


*Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:  
Are you a current patient?
Best time(s) to call?

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.