Salnick Dental Family and Cosmetic Dentistry2120 E. Moreland Blvd. Suite GWaukesha, WI 53186United Statesph: 262-544-0300fax: firstname.lastname@example.org
You can use this form to request an appointment with the dentist. This is for new appointments only. If you must re-schedule an existing appointment, please call our office.
For fastest service please call our office at: 262-544-0300
New Patients can save time at their first appointment by printing out and completing the following forms:
New Patient Form
Medical History Form
Financial & Privacy Agreement
In order to request an appointment please fill out the following form. The items that have a * in front are required.
ex:cleaning, crown, extraction, emergency...
e.x., yellow pages, google, friend's name
Thank you for requesting an appointment with Salnick Dental. Your request will be answered promptly; usually within 24 hours.
Hours of Operation
Emergencies Appointments Available
Click Here For Map
Copyright Salnick Dental. All rights reserved.
Web Hosting by Yahoo!
Salnick Dental - Waukesha Dentist - Waukesha Cosmetic Dentist - Waukesha Family Dentist - Waukesha, WI