(650) 948-5524

In the News
Make appointment Change appointment
Name 
Address 1 
Address 2 
City 
State 
Zip/Postal Code 
Daytime Phone 
Home Phone 
Email 
Preferred Time  Morning Afternoon
Preferred Day(s)  Mon   Tues   Wed Thurs   Fri
Type of Visit   Cosmetic Consultation 
 Implant Consultation 
 Invisalign Consultation 
 I.V. Sedation Consultation 
 General Dentistry Consultation 
 Teeth Cleaning 
 Zoom Teeth Whitening 
Referred by 
Comments 

Appointments

Please tell us when you'd like to see us. We will confirm your appointment with our dentists by e-mail or phone. Please bring the following forms to your first visit...

:: Patient Registration Form*
:: Medical History Form*
:: Understanding your Dental Insurance

* Please save the PDF to your desktop, then fill it out using the free Adobe Reader program. When finished, print the forms and bring them with you on your first visit.

If you live outside of Northern California, we can help with your travel plans, hotel and car rental. We will do everything we can to make your stay in the Bay Area easy and comfortable. See our special services for out-of-town patients.

:: Directions to our office
:: Need credit?
Dr. Hartley's Cosmetic Dentistry was recently on NBC's Today Show.  :: more
 
99 3rd Street  .  Los Altos, CA 94022 .  ph 650.948.5524  .  info@pccd.net  .  site map
© 2014 Peninsula Center of Cosmetic Dentistry | San Francisco Bay Area's Best Cosmetic Dentist