ACCESSIBILITY Accessibility

Appointment Request

Please contact our office by phone at (702) 202-3400 or complete the appointment request form below. 

Our scheduling coordinator will contact you to confirm your appointment. The first step towards a beautiful, healthy smile is to schedule an appointment.

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

New Patients Link:

https://www.ident.ws/template_include/new_patient_sign_in.do?site=18627&practiceId=24804

Exisiting Patients:

https://www.ident.ws/template_include/pi_login.jsp?site=18627&practiceId=24804&page=Patient+Information

 

*Items in bold are required.
Are you a current patient?


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.

Testimonials

View More