accessibility ACCESSIBILITY

The first step towards a beautiful, healthy smile is to schedule an appointment at Dental Group of Beverly Hills, Beverly Hills, CA. Please contact our dental office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment. Thank you and we look forward to talking to you soon!

Dr. Khodadadi and team

                                        

                                                     


 


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
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.