Tram Quynh Hoang, D.D.S, M.S.
San Jose Periodontics
Dedicated to Your Oral Health

Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone at408-564-6805 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

A referral letter from your dentist is not required to see us.

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.):

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Note: Messages sent using this form are not considered private. Please contact our office by telephone if you need to send highly confidential or private information.
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