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Doctors & Staff
Procedures
Before & After
Useful Info
Contacts

General, Cosmetic & Implant Dentist
4130 Truxel Rd.,
Ste.E, Sacramento, CA 95834
tel. (916) 285-9400
fax (916) 285-8636
serenitydentaloffice@gmail.com

The first step towards a beautiful, healthy smile is to schedule an appointment.

Before & After

Before

After

Before

After

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After

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Before

After

Appointment Request

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.

*Items in RED are required.

Name:
Address:
City:
State/Province:
Zip/Postal:
Email:
Phone:

Are you a current patient?

Yes No

Best time(s) to call?

Morning

Noon

Afternoon

Evening

Prefered day(s) of the week for an appointment?

Any Day
MON	TUE	WED	THUR	FRI	SAT

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.