Skip to main content
Close Search
905-688-8403
Menu
Home
About
Our Team
Services
New Patients
Blog
Contact Us
905-688-8403
Request your appointment today
Ready to smile?
Contact Us.
"
*
" indicates required fields
Request Type
*
General inquiries
Appointment requests
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Are you currently enrolled in any dental insurance plan that provides coverage for your oral health needs and treatments?
*
Yes
No
Appointment Type
*
Dentist Visit
Hygienist Session
Patient Availability
Preferred Appointment Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Appointment Time
Morning (9AM to 12PM)
Afternoon (12PM to 5PM)
Comments
*
Please let us know what's on your mind. Have a question for us? Ask away.
Email
This field is for validation purposes and should be left unchanged.
Close Menu
Home
About
Our Team
Services
New Patients
Blog
Contact Us
