Appointment Request - Patrick Yoshikane Dentistry
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Appointment Request Form

Fill out the form below to request an appointment – please let us know a few days and times are best for you!

Please include your phone number and we’ll follow up with you by phone within 24 hours of your message to schedule your visit.

First Name*

Last Name*




Our Office Hours


M – 8:00 am to 5:00 pm
T – 7:00 am to 4:00 pm
W – 7:00 am to 12:00 pm
Th –  7:00 am to 4:00 pm


We are also available after hours for emergencies.

Before You Leave…
If you’d like to receive a Free examination within the next 30 days, please complete and submit the form below. We’ll also send you occasional hello’s to share helpful articles and special offers!
Check all that might apply:
General Check-Up
Cavities/Root Canal
Cosmetic Dentistry
Gum Issues
Dental Implants
Sedation Dentistry
*This offer is limited to new patients.