How Would You Like to Book Your Appointment?

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Do You Have Dental Insurance?

PPO Plan

HMO Plan

Medicaid (Denti-Cal)

Medicare (Senior Citizen Insurance)

No Insurance

What Dental Treatment Are You Looking For ?

Braces
Broken Teeth
Cavity
Crown
Dental Implants
Dentures
Extraction
Root Canal
Toothache
Teeth Cleaning

How soon would like to visit the dentist?

As soon
as possible

Within
1 week

Within
2 week

In more then
2 weeks

How do you feel about visiting the dentist?

If needed, we have dentists trained specifically in dental anxiety.

Not at all

nervous

A little

nervous

Moderately

nervous

Very

nervous

Extremely

nervous

Do You Have Dental Insurance?

PPO Plan

HMO Plan

Medicaid (Denti-Cal)

Medicare (Senior Citizen Insurance)

No Insurance

We Are Not In Network With Your Insurance. But, we have a great offer for you! Exam, X-Ray & Cleaning for $97. We have very flexible payment plan options as well, Please CALL (661) 463-9480 Now!

Are you ready to book now?

Yes

I'm ready

No

I'm not ready

What is your contact info?

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