ACCESSIBILITY

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 office manager will contact you to confirm your appointment.

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

 

 

 

 

Office Hours: 

Pasadena Smiles (Pasadena):
Mon: 9:00am - 6:00pm 
Tues: 9:00am - 6:00pm 
Wed: 9:00am - 6:00pm 
Thurs: 9:00am - 6:00pm 
Fri: 9:00am - 6:00pm 
Sat: 8:00am - 3:00pm 

Mission Dental (South Pasadena)
Mon: 9:00am - 6:00pm 
Tues: 9:00am - 6:00pm 
Wed: 9:00am - 6:00pm 
Thurs: 9:00am - 6:00pm 
Fri: 9:00am - 6:00pm 
Sat: 8:00am - 3:00pm 

*Items in bold are required.
Are you a current patient?


Which office location(s) would you prefer for your appointment?


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.):

SpamBlocker
 
Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.



Follow Us:

     

Pasadena Smiles
900 Valley View Ave, Suites 2 & 3
Pasadena, California 91107
(626) 510-6633

Mission Dental
1401 Mission Street, Unit C4
South Pasadena, California 91030
(626) 399-0204