Appointment Request

Pediatric Dental Appointment Request - Happy Teeth NY

 "Dr Lal is so great with the kids. He makes the whole experience easy and fun for them." 
-Rebecca C., 14 Jan 2017

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below after clicking on the button.

*Columbia University employees are encouraged to see Dr. Lal at the CUMC Faculty Practice.


For Existing Patient Only!  

 

Request an Appointment by Phone

Call Us

 
Request an Appointment by Email

Fill Out the Form Below

 Appointment Request Form:


Items in bold are required.
Name:
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.