Accepting New Patients at Topanga Dental

Need to make a dental appointment at Topanga Dental? Please fill out the form below and one of our receptionist will contact you within 24 hours. We will try our best to honor your time and date request. If you have an immediate emergency, please call our office directly at (818) 576-0600.

"*" indicates required fields

Your Name*

Phone*

Email*

Type of Appointment:*

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

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred times(s) of the day for an appointment?*

Morning

Early Afternoon

Late Afternoon

Message / Concerns*

Comments

This field is for validation purposes and should be left unchanged.

Office Hours

Tuesday – Friday: 9:00am – 6:00pm
Saturday: By Appointment Only
Closed: Mondays and Sundays

New Patient Application

If you are joining our dental family for the first time, plan ahead and download, print, and fill out the new patient application form. This will allow us for efficiently see you in a timely manner and also allows you time to complete the requested information.

Download the New Patient Application