Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or 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.

 

Office Hours:

Monday  Closed 
Tuesday 9AM-5PM
Wednesday 9AM-5PM 
Thursday 9AM-5PM 
Friday9AM-5PM
Saturday By appointment only 
Sunday Closed 


9AM-5PM
9AM-5PM
9AM-5PM
9AM-5PM

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.

2024 Cupertino Smile Care