Welcome to Maricopa Family Dentistry & Orthodontics

Appointments
Please call us at (520) 568-9100 to schedule appointments, or submit the appointment request form below. If you are having tooth pain, please call immediately.

Appointment Request Form:
First name:
 * required
Last name:
 * required
 
Your e-mail address:
 * required
Phone number where we can reach you:
 * required
 
Appointment type (please check):*
Toothache
Routine Examination & Xrays
Cleaning
Cosmetic Procedure (whitening, etc.)
Periodontal Care & Treatment
Follow-up
Other (specify):
 
Additional Comments: