To Request your appointment, call to 425-746-2000 (425-770-0022 for Japanese translating service) or fill out the form below. We will contact you to confirm your appointment at the earliest convenience.

We accept most insurance plans. Please see Insurance Information page for more detail or feel free to contact us for any questions.

New Patient Registration Forms are available for download Adobe Acrobat PDF format. Please print and complete these forms at home before your first appointment.


    *New PatientExisting Patient
    Phone Number*
    First Choice Date*
    First Choice Time* 
    Second Choice Date* 
    Second Choice Time*
    Please describe reason for visit.*


    Usually our dentist sees patients on an appointment basis. However, when necessary, they will see a patient anytime, day or night. If you are experiencing problems, please call our office. We will arrange for you to see your dentist as soon as possible.

    If you are unable to keep your appointment, please let us know as soon as possible. Our dentist makes every effort to keep her appointments on schedule. Emergencies do arise, however, and sometimes a delay is unavoidable. When this happens, we do all we can to minimize the inconvenience.