New Patient Forms

You are welcome to print and fill out our new patient forms to bring with you for your next visit!

Please download Adobe Acrobat below to view/print forms:

Adobe Reader

Make an Appointment

You may make an appointment via the form at the bottom of the page or any of the contact methods below. We look forward to hearing from you!

 

East Palmdale, CA 93550

Tel: 661-947-6453
Email: smilepalmdale@yahoo.com
Mailing Address:
2508 E. Palmdale Blvd.
Palmdale, CA 93550
Hours:
Mon-Fri: 9am-6pm
Sat: By appt only

West Lancaster, CA 93536

Tel: 661-729-2990
Email: smiledent93536@yahoo.com
Mailing Address:
2014 W. Avenue K
Lancaster, CA 93536
Hours:
Mon-Fri: 9am-6pm
Sat: By appt only

East Lancaster, CA 93535

Tel: 661-948-7909
Email: smiledent93535@yahoo.com
Mailing Address:
1020 E. Avenue J
Lancaster, CA 93535
Hours:
Mon-Fri: 9am-6pm
Sat: By appt only

Insurance

We accept most insurance plans. We also accept payment from most PPO and indemnity plans. Please call our office to make an appointment and we will answer any questions you may have.

Payment Options

We accept all major credit cards, ATM cards, cash, and personal checks. For our patients’ convenience we have arranged a payment plan through a third party, which helps our patients receive their treatment in a timely manner.