Request Dental Appointment

5508 Pinnacle Point Dr.
Ste.A
Rogers, AR 72758
Phone: 479.845.1225
Fax: 479.845.1227

Patients come first at the office of Dr. Lais.
We are committed to offering each patient personal, individualized dental care.
Please complete the information below to request an appointment.

Please tell us how to get in touch with you:

Name
Address me as:
E-mail
Phone

Are you a new patient? Yes No

Preferred Day of the Week?

Monday Tuesday Wednesday Thursday

What time of the day is best for you? ( Lunch is at 1:00 )

Is there a specific date(s) and time that works best for you? (ie., Jan. 13 at 9am)

Please note any additional information below:

comprehensive fine dentistry

Request Dental Appointment