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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.

Office Hours:

Monday 9:00am - 6:00pm
Tuesday  Closed
Wednesday 9:00am - 6:00pm
Thursday  Closed
Select Fridays 9:00am - 6:00pm
Select Saturdays 9:00am - 2:00pm

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

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.

331 W Channel Islands Blvd|Port Hueneme, California 93041|Map & Directions

Call: (805) 204-9941