If this is an emergency, or if you are trying to cancel or change an existing appointment, please do not use this form. Contact us by phone at (909) 624-7222. *First name: *Last name: Address: City: State/Province: Zip/Postal Code:   *Phone: *E-mail: Preferred Dates: Preferred Times: Please describe your symptoms: * Required field

Request An Appointment

For your convenience there are several ways to schedule an appointment with Shine Dentistry. Choose from the options below.

Phone
Call our office: (909) 624-7222

Email
Email our office: . We will get right back to you to confirm your appointment.

Online Form
Complete the appointment request form to the right. We will then contact you within one business day to confirm your appointment.

Emergencies
If you are a current patient of our office and are experiencing an after-hours dental emergency, you may call our main number, (909) 624-7222