Emergencies / Saturday Appts. / New Patients Welcome
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907-376-8400
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Emergencies welcome/Saturday appointments available/Welcoming new patients
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4501 SNIDER DR, WASILLA, AK 99654 button for GPLUS button for fb button for twitter
907-376-8400 REQUEST APPOINTMENT
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New Patients Welcome • Dental Emergencies Welcome • Open Saturdays
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Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

Yes No  

What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
907-376-8400

4501 Snider Dr, Wasilla, AK 99654-7604


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NEW PATIENT FORMS
NOTICE OF PRIVACY PRACTICES
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Office Hours
Monday
8AM–5PM
Tuesday
8AM–5PM
Wednesday
8AM–5PM
Thursday
8AM–5PM
Friday
8AM–5PM
Saturday
9AM–3:30PM
Sunday
Closed

Call Us: 907-376-8400
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