If you have an urgent dental need, please do not use the form below to contact us. Call us directly for any dental issues needing to be addressed immediately at 435.604.0887 x 199.
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Treatment request (required) 6-month Check-UpInitial ExamCosmetic ConsultationGeneral Inquiry
Time preference (required) 08:00 – 11:00 AM11:00 – 2:00 PM02:00 – 04:00 PM
Note: Please do not include personal medical information in this form.
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