Call for an appointment: 
Tottenham, Ontario 905-936-4663

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.

If requesting and appointment, please include your work or cell number so we can get in touch with you as soon as possible


*Items in bold are required.
Name:  
Address:
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Phone:  
Are you a current patient?
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Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

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