NEW PATIENT REQUEST FORM

If your child is, or maybe be, experiencing a dental emergency –
please call us immediately and speak with one of our on-call dentists: 970.224.3600

Fill out the form to request a new patient appointment at Mountain Kids Pediatric Dentistry. After you’ve submitted someone will reach out to you as soon as possible. Schedule immediately by giving us a call at 970.224.3600.
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Would you prefer a text or phone call? *