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For your convenience you can request an appointment directly from the computer you are sitting at right now!

Simply complete and submit the form below. A member of our team will contact you to confirm your appointment or find a suitable time that meets your requirements.

Please Note: Changes to scheduled appointments must be made over the phone and will not be accepted through this form.

First Name:
*
Last Name:
*
Email Address:
*
Phone Number:
*
*required field
  New Patient
Existing Patient

Choose the days of the week that you are available:
(use control-click to select multiple dates)


 
Mon 7:30am - 8:00pm
Tues 7:30am - 5:30pm
Wed 7:30am - 8:00pm
Thurs 7:30am - 5:30pm
Fri 7:30am - 4:00pm
Sat 9:00am - 4:00pm
Best time for appointment:
 

Reason for appointment:
 
What is the best way to contact you to confirm your appointment?
 

Please email me
Please call me



 



 
107 Dundas St. E.
Whitby, Ontario l1N 2H6
Telephone: 905-666-1555 | Fax: 905-666-1905
newpatients@DentistryonDundas.com
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