Contact & Book — BrightSmile Dental Clinic

Request an appointment

Fields marked with * are required.

Full name *

Please enter your name.

Phone number *

Please enter a valid phone number.

Service needed *

Please choose a service.

Preferred date *

Please choose a preferred date.

Email (optional)

Anything we should know? (optional)

This is a demo form. No data is sent or stored. Connect it to your own backend or scheduling service to go live.

Our clinic120 Maple Street, Suite 4
Riverside, CA 92501, USA

Opening hoursMon–Fri: 8:00 AM – 6:00 PM
Sat: 9:00 AM – 2:00 PM
Sun: Closed

Dental emergency?Call us first thing — we keep same-day slots open every day.

120 Maple Street, Riverside Embed your Google Map here

Our friendly front desk is happy to help you find the perfect time. Give us a call — we'd love to welcome you to BrightSmile.