Appointment Request


Schedule Your Dental Appointment Today!

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone # 808-737-6150 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

FREE Consultation 

If you have failing or missing teeth, Dr. Asam will provide an in-depth FREE consultation with 3D CT Scan ($400 value). Dr. Asam will review all of your treatment options, including but not limited to dental implants. Our goal is to provide you with various solutions so that you can find one that caters to your needs, goals, and financial situation.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.



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