Request An Appointment

The first step towards a healthy smile is to schedule an appointment.
Please complete the appointment request form below and a Patient Care Specialist from Dentistry in Bolton will follow up with you soon.

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

First Name *

Last Name *

Phone Number *

Email Address *

Are you a current patient? *

Best time to call you: *

Preferred day of the week for an appointment: *

Preferred time for an appointment: *

Message: *

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Welcoming New Patients

Ready to join our dental family? Our team of dental professionals are here for you.

Request Appointment

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