Appointment Request

The first step toward achieving a beautiful smile begins with a consultation. Please submit an appointment request form below and our staff will call you to schedule an appointment.   

Please fill out the Patient Form to bring to your first visit. The first consultation appointment is complimentary; however, there will be an office visit fee for the multiple consultations.   

If you need to cancel or re-schedule an existing appointment, please call us at (408) 971-2885 directly.

Patient Information

Patient Availability

Reason For Visit

in San Jose