Make an Appointment

Please contact R&B La Jolla Family Smile Design at (858) 454-3043 or complete the appointment request form below. Our appointment coordinator will contact you to schedule your appointment.

Please Complete the Form Below

  • Your name:
  • Are you a Patient?
  • Address:
  • City:
  • State:
  • Zip:
  • Your Email:
  • Phone Number:
  • Best Time to Call:
  • Preferred day for appointment
  • First Choice
  • Second Choice
  • Third Choice
  • Preferred time for appointment
  • Please describe the reason for your appointment (e.g. consultation, check-up, cleaning, etc.):
  • Our office hours are:
    Monday – Thursday 8:00 am to 5:00 pm
    Friday 8:00am to 2:00 pm
  • Note: Please contact our office by telephone if sending highly confidential or private information.