Appointment Request

To request a dental appointment please complete the form below, and we will contact you shortly to confirm your appointment.

PLEASE CALL OUR OFFICE DIRECTLY TO CANCEL AN APPOINTMENT.
(905) 765 6996

 

Our Practice Hours:

Monday: 8:00 AM - 5:00 PM

Tuesday: 8:00 AM - 5:00 PM

Wednesday: 8:00 AM - 5:00 PM

Thursday: 8:00 AM - 5:00 PM

Friday: 8:00 AM - 12:00 PM

 


Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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