Request an Appointment


American Family Dental
2210 Santa Monica Blvd , Suite B
Santa Monica, CA 90404
(310) 44-smile
310-264-5085 fax

To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment.

Is there a specific date that you would prefer?
,

What day of the week would you like to come in?


What time do you prefer?


Full Name


Email Address


Phone Number
( ) -

Please describe the nature of your appointment :