Request Appointment Please complete the form to request an appointment. Please note you do not have an appointment until you receive confirmation from us. Response to requests are within one business day. If is it urgent, please call (972) 620-9012. Name*Phone*Email* Preferred Date Preferred Time : HH MM AMPM ServicesPreventative CareSurgeryDentistryCommentsNameThis field is for validation purposes and should be left unchanged.