Request an appointment with a member of our staff today!Make an Appointment Contact InformationName* First Last I prefer to be contacted by:* Phone Call Text Email Phone**If you wish to be contacted by text, please enter a valid mobile number.Email* Enter Email Confirm Email Appointment DetailsAppointment Type*Select an Appointment TypeCleaning and Check-up (Returning Patient)Specific Exam (E.g. Wisdom Teeth, Toothache, Chipped Tooth)Comprehensive New Patient Exam and X-raysInitial Cleaning (New Patient)Emergency ExamGeneral ConsultationInvisalign ConsultationOther (Please specify in comment section below!)Preferred Days* Select All Monday Tuesday Wednesday Thursday Friday Saturday Preferred Time Range* Early Morning (8 am only) Morning (8 am - 11 am) Afternoon (12 pm - 4 pm) Evening (5 pm - 7 pm) Preferred Date Date Format: DD slash MM slash YYYY Date Format: DD slash MM slash YYYY Date Format: DD slash MM slash YYYY Who would you like to see?No PreferenceDr. Derek ChungDr. Sajeed HajiDr. Kelsey LiDr. Shideh PejmanDr. Sara ShayanAlisa (Hygienist)Jane (Hygienist)Maria (Hygienist)Melody (Hygienist)Shanna (Hygienist)Comments & QuestionsPlease note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Monday – Friday: 8 am – 8 pmSaturday: 8 am – 2 pmP: (416) 368-2855
