Is this your first visit to our dental office? If so, Please print and complete the dental registration and history form (requires Acrobat Reader).

If you have previously been to our dental office, please fill out the appointment form below, or call us for an appointment at (212) 644-1011 during office hours:

Monday - Friday: 9 a.m. - 8 p.m.
Saturday: 10 a.m. - 4 p.m.

Appointment form, only for existing clients
(New clients first require for fill our the dental registration and history form)
The fields marked with * are mandatory.

First Name*
Last Name*
E-mail*
Address*
City/State/Zip*
Contact Phone*
Preferred Date
Preferred Dentist	No Preference Mina Elahi, DDS Ebby Elahi, MD Joseph Salim, DMD M.H. Reshad, DDS S. Nazeri, DDS Mahtab Azimi, DDS
Comments