Request AppointmentPlease 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 Date Format: MM slash DD slash YYYY Preferred Time : HH MM AMPM ServicesPreventative CareSurgeryDentistryCommentsCommentsThis field is for validation purposes and should be left unchanged.