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: *

Have you visited our office before? *

Yes No  

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:

Confirmation

How do you prefer to be contacted? *

  Email   Phone  

 
 

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

 
Copyright © 2019-2021 Amir Sanjabi, DDS and WEO Media (Touchpoint Communications LLC). All rights reserved.  Sitemap | Links
About Amir Sanjabi DDS | Dentist Downey, CA - Family Dentist
At the office of Dr. Sanjabi, we put our patients first. Our staff is fully dedicated in providing an individualized treatment plan that delivers outstanding results.
Amir Sanjabi, DDS, 10901 Paramount Blvd, Downey, CA 90241-3617 \ (562) 869-0928 \ sanjabidds.com \ 8/1/2021 \ Page Keywords: dentist Downey CA \ dentist Downey CA \