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Cosmetic Dental Solutions - Appointment Request - Dr. Chris Sholota

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.

OFFICE HOURS

MONDAY 7:00 am to 4:00 pm

TUESDAY 7:00 am to 4:00 pm

WEDNESDAY 7:00 am to 4:00 pm

THURSDAY 7:00 am to 4:00 pm

Lunch from 1:00 to 2:00 daily


Items in bold are required.
Name:  
Address:
City:
State/Province:
Zip/Postal:
Phone:
Email:
Are you a current patient?
Best time(s) to call?
Preferred day(s) of the week for an appointment?
Preferred time(s) for an appointment?
Please describe the nature of your appointment (e.g., consultation, check-up, etc.):
 
 

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

Cosmetic Dental Solutions
9590 Medlock Bridge Road, Suite C Johns Creek, GA 30097
Phone: (770) 814-7080 URL of Map