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If this is a dental emergency and you need assistance within the next 48 hours, please call during our office hours or visit the nearest emergency room during non-office hours.
 
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Pediatric Dentistry Associates
850 Kamehameha Highway Suite 215
Pearl City, Hawaii 96782
 
Dental Office: (808) 456-4555
 
 
For non-emergencies, please use the form below to schedule an appointment. We will get back to you with a Confirmation Email on the next business day.
 
You may also download these New Patient Health forms to fill out and bring in for your first visit in order to save time.
 
 

To get directions to our office, please fill out the address where you are coming FROM and click SUBMIT:

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Address or Intersection:
City:
State: ZIP Code:
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Please note that submitting this form does NOT confirm a dental reservation. If you do not receive a confirmation of your dental reservation via email please call our offices at (808) 456-4555 during normal business hours to schedule an appointment over the phone.
ALL DENTAL APPOINTMENTS MUST BE CONFIRMED.

* Patient Name  

* Your Name  

Email  

* Daytime Phone  

* Reason for visit  

If other, specify  

Desired Day   First date available (any day of the week)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

* Desired Time   between 8:00a and 10:00a
between 10:00a and 12:00p
between 1:00p and 3:00p
between 3:00 and 4:00p
Saturday Only between 7:30a and 12p

Provider  

Comments  

Dental Office: (808) 456-4555
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