Accessibility Driving Directions Contact Us

Appointment Request Call 360-377-4700

Microscope Dentistry by Dr. John J. Bial

Biomimetic Dentistry - Maximum Tooth Preservation

Creating Beautiful Smiles

Call 360-377-4700

Menu

Appointment Request

Home

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. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

---

Patient Information

Name

Email

Phone

Are you a current patient?YesNo

How did you hear about us?

Patient Availability

Preferred day(s) of the week for an appointment? Any DayMondayTuesdayWednesdayThursdayFriday

Preferred time(s) for an appointment? Any TimeMorningNoonAfternoonEvening

Reason For Visit

Please describe the nature of your appointment?

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

"Dr. Bial is delivering the Ferrari of Dentistry"

G

G.L.

Ready for your first appointment?