2324 Santa Rita Road, Suite 3, Pleasanton, California 94566 • Phone 925 462 4045 • Fax 925 462 8587 • smile@michelechalmersdds.com

Accepting New Patients

925 462 4045

Required

Required

Required

Required

Required

Required

Submitting Form...

The server encountered an error.

Form received.

Required

Required

Required

The first step toward a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the Appointment Request Form below. Our office will contact you to confirm your appointment.

 

Please do not use this form to cancel or change an existing appointment.

Appointment Request Form