Appointment Request

Enhance Dentist La Crescenta Tel) 818-248- 7333 Fax) 818-248-9628 3967 Foothill Blvd Glendale, CA 91214 Valencia Tel) 661-255-0220 Fax) 661-255-9577 25078 Peachland Ave Suite G Newhall, CA 91321

Home / 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 scheduling coordinator will contact you to confirm your appointment.

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

Are you a current patient?

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First Name*

Last Name*

Phone*:

Your Email (required)

Best time(s) to call?

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Street Address

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Preferred time(s) for an appointment?

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Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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