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Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

 We accept most private insurance/PPO plans. Please contact our office for insurance details.  We look forward to hearing from you:  Cigna, Delta, Guardian, United Health Care, Metlife, Aetna, Principal,  UMR, BCBS PPO, BCBS Anthem, BCBS Federal Employee Programs, and many more.

Business Hours:

Monday 10:00am - 6:00pm
Tuesday 10:00am - 6:00pm
Wednesday Closed
Thursday 10:00am - 6:00pm
Friday, 10:00am - 6:00pm
Saturday 10:00am - 6:00pm
Sunday 10:00am - 6:00pm

Please do not use this form to cancel or change an existing appointment.

dr. shu ping rong schedule appointment online
*Items in bold are required.
Are you a current patient?


Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.