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Request an Appointment

Please fill out the form below and we will contact you with an appointment time.
Required fields are marked with asterisks (*).

Patient Information

First Name: *

Last Name: *

Phone Number: *

Email address: *

Current Dentist: *

What is the reason for the appointment?: *

  Wisdom Teeth Removals
  Dental Implants
  Other Consultation/Procedure

All other dental extractions or appointment requests require a referral from your dentist or primary care physician.

Preferred Office: *

Honolulu Waipio First Available - Either Office  

Comment or Question:

 

Confirmation

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  Email   Phone  

 
 

It may take a moment to submit your information. Please wait for a confirmation message.

 
Pacific Maxillofacial Center Logo

Honolulu


1060 Young Street #312
Honolulu, HI 96814

Contact


Office: 808-585-8455
Email: Send us an Email

Office hours


Mon-Fri 8:00am to 5:00pm


Waipi'o


94-1221 Ka Uka Blvd #B-204
Waipahu, HI 96797

Contact


Office: 808-676-9560
Email: Send us an Email

Office hours


Mon-Fri 8:00am to 5:00pm





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Request an Appointment Online | Pacific Maxillofacial Center - Honolulu, HI
At Pacific Maxillofacial Center, we make it easy to request your appointment online. Click here to access our online form, and we'll get in touch with you to confirm.
Pacific Maxillofacial Center, 1060 Young Street #312, Honolulu, HI 96814 | 808-585-8455 | pacificmaxcenter.com | 10/19/2021 | Tags: Dental Implants Honolulu HI | Dental Implants Honolulu HI |