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Appointment Request

 Schedule your appointment within a week!


The first step towards a beautiful, healthy smile is to schedule an appointment in our West Bloomfield dental office. Now you don't have to miss work with our convenient hours! Please contact our office by phone @ (248) 363-5600 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours
Monday: 10 to7
Tuesday:7 to4
Wednesday: Closed
Thursday: 10 to 7
Friday: 7 to 1
Saturday: Alternating

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?
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.