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? *

Yes No  

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:


How do you prefer to be contacted? *

  Email   Phone  


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


6226 East Spring Street Suite 350
Long Beach, CA 90815

Monday: 9am - 5p,
Tuesday - Thursday: 8am - 5pm
Friday - Sunday: Closed

Like Gary L. Glasband, DDS Dentistry on Facebook Follow Gary L. Glasband, DDS Dentistry on Google Read about Gary L. Glasband, DDS Dentistry on Yelp
Gary L. Glasband, DDS | | 562-425-5511
6226 East Spring Street, Suite 350, Long Beach, CA 90815
Copyright © 2017-2018 Gary L. Glasband, DDS and TDSC. All rights reserved.  Sitemap