Schedule Appointment Online

To schedule an appointment online, please fill out & submit the form below and our staff will contact you to complete the process. For questions or to schedule over the phone, please call (559) 732-4543.

* Your Name

First

Last

* Your Phone Number

Your Email

Best Days and Times (Select up to 3 appointment dates in order of preference)

Date

HH

MM

AM PM

Option 1

Date

HH

MM

AM PM

Option 2

Date

HH

MM

AM PM

Option 3

* Are You a New or Established Patient? I'm a New Patient I'm an Established Patient

* What is Your Dental Concern? Dental Hygiene Appointment Tooth Pain/Ache Cosmetic Dentistry Appointment Other

Other Dental Concern Explanation: text here