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Schedule Appointment

Please fill out the appointment form below.
Or schedule your appointment immediately by calling (435) 635-4244
or by texting (435) 253-5786.
I am a:
New Patient
Current Patient
I was a patient, but it's been a few years.
Date of Birth
Month
Day
Year
Where is your current place of residence?
Utah
A different state within the USA
Outside the USA
Current Dental Insurance:
Reason for visit:
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