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:

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.

 

Location
6226 East Spring Street Suite 350
Long Beach, CA 90815

Hours
Monday & Thursday: 7am - 4pm
Tuesday & Wednesday: 10am - 7pm

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 | www.garyglasband.com | 562-425-5511
6226 East Spring Street, Suite 350 Long Beach, CA 90815