Appointment Request
We are happy to schedule your visit to the Andrade Dental Family.  We will confirm your request as soon as possible.

Please know that an appointment request is not a confirmed appointment time and is subject to change due to conflicting schedules.

*If you are in pain, do not hesitate to call our 24-hour emergency number (714) 222-3571.
First Name *
Last Name *
Email Address *
Phone Number *
Type of Appointment *
Required
Requested Appointment Date (note: the office is closed on Tuesdays and open one Saturday per month) *
MM
/
DD
/
YYYY
Requested Appointment Time (cleaning appointments are scheduled on the hour) *
Time
:
When are we in the office?
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