HOME                                      
  MEET THE TEAM   
  SERVICES   
  GALLERY   
  FINANCIAL OPTIONS   
  TESTIMONIALS   
  PATIENT INFORMATION   
  CONTACT US                         

    Appointment Request

 

To schedule an appointment you may call our office at 626.653.8889 or complete the appointment request form below. We will then contact you within one business day to confirm your appointment.

If this is an emergency, or if you are trying to cancel or change an existing appointment, please do not use this form. Contact us by phone at 626.653.8889.

First name:
 Last name:
Address:
City:
State/Province:
 Zip/Postal Code:
Phone:
 E-mail:

Preferred Dates:

Preferred Times:

Please describe your symptoms:
 
 

 
Penny Peng DDS |  320 W. Badillo St. #101, Covina, CA 91723  |  626.653.8889
Site Map  |  Created by Dental Branding