Make A New Appointment If you are a new patient, click here to fill out New Patient Information. Schedule Your First Appointment First Name: Last Name: E-mail Address: Daytime Phone Number: Evening Phone Number: Please leave this field empty. First Choice: Preferred Time Of Day: MorningAfternoonNo Preference Second Choice: Preferred Time Of Day: MorningAfternoonNo Preference Please leave this field empty. Upon submission of this form, we will contact you soon to verify your appointment day and time, as well as answer any questions you may have. We look forward to providing you with the best service possible! Contact Us Your Name (required) Please leave this field empty. Your Email (required) Day Time Phone Number (required): Evening Time Phone Number (required): Subject Dental Questions - Dr. KezianInsurance Questions - KarineClinical Questions - Ellie Comments, Questions, Suggestions: Please leave this field empty.