Please call us at (415) 681-3111 with any questions or to schedule your first appointment, or fill out the form below. We see pediatric, adult and geriatric patients. We do not accept Medi-Cal. 


We will schedule you as soon as possible and contact you to confirm your appointment. If you have a dental emergency, we will try our best to see you today -- you can call/email us (

Appointment Request

(Your information will be kept private and is only collected for patient records)

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

Note: Please fill out the fields marked with an asterisk.

If you need to reschedule an existing appointment, please call us at (415)681-3111 at least 2 business days in advance to avoid a $75 cancellation fee. If you miss your appointment or are more than 20 minutes late, the same $75 fee applies. Please note we are closed on Wednesdays.



Note the following processing fees: credit card 3% / Debit 1%, cash/check no fee.