New Form in Lake Wales, FL - Lake Wales Dental Group

Office Hours

MON: 8am – 5pm
TUE: 8am – 5pm
WED: 8am – 5pm
THU: 8am – 5pm
FRI: 8am – 5pm

Call Us: (863) 676-8536

Our Dental Office

1 Doctors Ln
Lake Wales, FL 33853

Request an Appointment

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
Name*
Phone*
Email*
Preferred Date*
Preferred Time
Nature of Visit
Comments
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Accessibility by WAH

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