BabyTeeth Online | BabyTeeth Children's Dentistry

Request A "New Patient" Appointment

To request a "New Patient" appointment, contact us in West Los Angeles, California by calling 310-443-9596 or by completing the following form so that we can contact you to schedule an appoinment.

Please note: We are NOT a provider for any HMOs or MediCal.

Child's First Name
Child's Last Name
Child's Age
Parent's First Name
Parent's Last Name
E-mail
Best Phone # To Reach You
Best Time To Contact You
How did you learn about BabyTeeth Children's Dentistry?	I was referred by a friend or family member who is currently a patient at BabyTeeth Children's Dentistry. I was referred by my pediatrician. I was referred by my dentist. I searched the internet and found BabyTeeth.com. Other
If you where referred by someone, whom may we thank for the referral?
Are You OR Are Any Of Your Children Current Patients Of BabyTeeth Children's Dentistry?	Yes No
Promo. Code (if any)
If you have any questions or comments, please type it below:

THANK YOU!

Dr. Payman Pirnazar D.D.S, M.S., Inc.
BabyTeeth Children's Dentistry
10921 Wilshire Blvd., Suite 1103
Los Angeles, CA 90024

Telephone: 310-443-9596
Website: BabyTeeth.com

BabyTeeth.com Home | Contact Us