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[[[d:TPpull-right|[[[d:TPBandCol-fluid TPtext-right|[[[d:TProw TProw-socials | Request Appointment ]]][[[d:TProw TProw-phone TPhidden-xs TPhidden-sm|Give us a call! (971) 470-0054 ]]]]]] ]]]

Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before?: *

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What is the reason for the appointment?: *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

 

Confirmation

How do you prefer to be contacted?: *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
[[[d:TProw|[[[d:TPcol-md-6 TPcol-md-offset-3 padding-bottom:50px;|[[[d:TPembed-responsive TPembed-responsive-16by9|]]] ]]][[[d:TPcol-xs-12|[[[d:TPBandCol-fluid|[[[d:TProw|[[[d:TPcol-xs-2 TPtext-center|]]][[[d:TPcol-sm-8 TPcol-xs-10|[[[d:TPtext-center TPquote|My daughter was a little nervous to have her dental work done but everyone in the office was super friendly and very reassuring and that helped her nervousness go away. Thanks for the excellent dental experience. ~ Lilyana G.
]]]]]][[[d:TPcol-xs-2 TPtext-center TPhidden-xs|]]]]]]]]]

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