Appointment Request

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

Please contact our office by telephone or e-mail. You can also use the appointment request form below. Our staff will contact you to confirm your appointment. 

Rockefeller Center International Building                            
(45 Rockefeller Plaza)
630 Fifth Avenue, Suite 1818
New York, NY 10111

Phone: 212-868-7170




Please do not use this form to cancel or change an existing appointment. Call us at 212-868-7170 and we will be glad to accommodate your request

*Items in bold are required.
Are you a current patient?

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

Preferred time(s) for an appointment?

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.


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