Dental Appointment

Please fill out the dental appointment request form below or call us at (248) 476-4416 to schedule your visit with Dr. Karanth, of Pearl Dental PC for the best general and cosmetic dentistry and braces for children and other dental services in Farmington Hills, Livonia, Northville township, Norwhite and kentin. Our dental office is conveniently located at 33566 W. 8 Mile Road, Suite B
Farmington Hills, MI 48335.

    Your Name *

    Last Name *

    Your Email *

    Telephone

    Date of Birth (mm-dd-yyyy)*

    Please Select Status:*


    Select up to 3 appointment dates in order of preference

    Appointment Date Preferred*

    2nd Date Preferred

    3rd Date Preferred

    Time Preferred *


    Reason for Your Visit

    Notes for the Doctor: