We will do our best schedule your appointment at your convenience, but we are often book a week or two in advance. Please use the form below to inform us of your specific appointment requests and general availability. We will get back to you within 48 hours with either an appointment confirmation or alternative scheduling possibilities.

Name:

Email Address:

Phone Number:

Appointment Preferences:

sss

Available Times (feel free to check more than one if your schedule is flexible)
** ** ** 9~10am ** 10 ~11am ** 11am~noon** noon~1pm ** 1~2pm
** ** ** ** ** 3~4pm** 4~5pm** 5~6pm ** 6~7pm

Check here if this is an urgent matter and you need an appointment as soon as possible.

Type of Procedure Need
** **
** General Check Up/Cleaning** Cosmetic Procedure/Whitening*****
** ** ** Experiencing pain/Need some kind of restoraive procedure
*** *Other

Additional Comments/Requests

 

 

 


San Francisco Dental Clinic
3F Seomyeon JudiesTaehwa, 192-2, Bujeon-Dong, Jin-gu, Busan
TEL : 051-667-8275 FAX : 051-667-8276 sfdental@pusanweb.com

Copyright © 2004 San Francisco Dental Clinic. All rights reserved.