(607)748-1521 |
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Request / Confirm Appointment
Once our office receives the form, kindly give us up to 24 hours to contact you to schedule an appointment. Please note, this form is a request. It does not guarantee an appointment with the specific provider, time and/or date. We will certainly do our best to accommodate your requests. If you require immediate attention or it is a dental emergency, please do not hesitate to call the office at (607)748-1521. Required Information* |