Make A New AppointmentIf you are a new patient, click here to fill out New Patient Information. Schedule Your First AppointmentFirst Name: Last Name: E-mail Address: Daytime Phone Number: Evening Phone Number: First Choice: Preferred Time Of Day: MorningAfternoonNo PreferenceSecond Choice: Preferred Time Of Day: MorningAfternoonNo PreferenceUpon submission of this form, we will contact you soon to verify your appointment day and time, as well as answer any questions you may have. We look forward to providing you with the best service possible! Contact Us Your Name (required)Your Email (required)Day Time Phone Number(required): Evening Time Phone Number(required):SubjectDental Questions - Dr. Michael A. KezianInsurance Questions - KarineClinical Questions - EllieComments, Questions, Suggestions: