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New Patient Appointment Request Form

Parent's Name (required)

Child's Name (required)

Child's Age (required)

Phone Number (required)

Your Email (required)

Subject

Your Message

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We Look Forward To Seeing You

Our Location

2710 Pleasant Hill Road
Pleasant Hill, CA 94523

Office Hours

We are open Monday through Saturday.
Mon-Thu: 8 am – 4:30 pm
Friday: 7:30 am – 3:30 pm
Saturday: 7:30 am – 2:30 pm

Contact Information

Phone: (925) 947-1188
Fax: (925) 947-0252
phkidsdds@sbcglobal.net

Our Office Location