accessibility ACCESSIBILITY

Appointment Request
The first step towards restoring periodontal health and comfortable oral function, is to schedule an examination and consultation appointment.


Please contact our office by phone:

Encino Office - 818 995 0294

Saugus Office - 661 254 1031


complete the appointment request form below.

 Our scheduling coordinator will contact you to confirm your appointment.

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

Items in bold are required.
Are you a current patient?
Best time(s) to call?

Which office location(s) would you prefer for your appointment?
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.