Request an Appointment

Please complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Your Name*
Your Email Address*
Phone (optional)
Is this matter an emergency?
- Yes
Best time for appointment*
- Morning
- Afternoon
Preferred day of week
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Appointment Purpose
(check all that apply)
- New Patient Exam
- Cosmetic Consultation
- Specific Purpose (please specify below)
Comments or questions

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Fremont Village Dental

At Fremont Village Dental, we’re very proud and fortunate to be members of BC’s own 123 Dentist – Community Dentist Network.

Click here to learn more about the 123 Dentist network