Call: (604) 560-6360

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:

Tuesday9am – 5pm
Wednesday9am – 5pm (hygiene only)
Thursday9am – 5pm
Friday9am – 5pm
Saturday9am – 5pm

*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.


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Office Location

  • Surrey
  • 14012 32 Avenue
  • Unit 103
  • Surrey, British Columbia
  • V4P 2J2
  • Map & Directions
  • Call: (604) 560-6360