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Office: (714) 847-7733         Email:

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Surf City Dentist will contact you with the next available appointment on the next business day.
If you have particular days and times, please indicate that in the form below.

1 Step 1

Schedule an Appointment

we will get back to you asap

First Nameyour full name
Last Nameyour last name
Contact Phoneyour phone number
Appointment Timepick one!

​We shall make every endeavor to get you the appointment date and times you have requested.   Please note that this is NOT an actual appointment.

 Appointments are on a first come basis and are subject to doctor or hygienist availability. You will be contacted for a confirmation of your appointment time.

Make your date and time requests below:

Date Requestedof appointment
Peferred Timesmore details
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Details of appointment request

Appointment Detailsmore details
0 / 250
Contact PermissionI have agreed to be contacted
Email Privacy Policypick one!
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