Request Appointment Patient Forms

Request An Appointment

Here in El Cajon, our doctors and team members couldn’t be happier that you would like to schedule an appointment with us. All you need to do is complete the short form below with your personal information and hit the button to submit it directly to us. As soon as possible, someone from East County Family Dental Center will get in touch with you to finalize the details and confirm your requested visit. We look forward to seeing you!

Request An Appointment

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I am interested in:
  • Cosmetic Dentistry
  • Veneers
  • Dentures
  • Teeth Whitening
  • Dental Crowns
  • Dental Bridges
  • Invisalign
  • Dental Braces
  • Root Canal
  • Extractions
  • Emergency Dentistry
  • Other
Best Time for Appointment
  • Morning
  • Afternoon
Preferred Day Of Week
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
How did You Hear About Us?
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East County Family Dental Center

13465 Camino Canada Ste 110A El Cajon, CA 92021

Phone: (619) 390-3669