Request an Appointment

Please contact our office at 310-543-2711 or complete the appointment request form below. Our scheduling coordinator will contact you shortly to confirm your appointment.

The purpose of your complimentary consultation with Dr. Jen is devise an initial treatment plan. Dr. Jen will evaluate your smile and bite, taking into account your treatment goals, wants and needs. She will take photographs, orthodontic x-rays, and 3-D digital images of your teeth. These images allow Dr. Jen to move specific teeth on the screen, view the jaw from different angles, check your bite, and also foresee what your smile might look like at then end of your smile transformation journey.  In essence, this technology can show how orthodontic treatment will change your smile!

Once planning is complete and a recommended treatment plan is thoroughly discussed, you are ready to begin your smile transformation journey! 


*Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?


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 at 310-543-2711 if sending highly confidential or private information.

Contact Us. We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.