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

Name: *

Phone: *

Email address: *

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What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

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Get in Touch!


PHONE
(503) 451-5104

EMAIL
office@hikadedental.com

LOCATION
14210 SE Sunnyside Rd Ste 200
Clackamas, OR 97015


Request Appointment

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