Scottsdale Dentist    Douglas O Beischel DDS and Beth D Vander Schaaf DDS PC    Cosmetic Dentistry   

7342 E Thomas Rd Suite 100
Scottsdale AZ 85251
Tel. (480) 994-5225
home
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
meet the dentist
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
what we offer
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
map & hours
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
ask the dentist
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
appointments
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
newsletter sign up
= = = = = = = = = = = = = = = = = = = = = = = = = = = = 
financial options
  Beth D Vander Schaaf DDS
  Douglas O Beischel DDS

Please call (480) 994-5225 to schedule an appointment.

For New Patients of Dr. Vander Schaaf and Dr. Beischel


Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

Please provide the following contact information:

Title & First name

Last name

Middle initial

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Work phone

Home phone

Call me at

Best time is

How did you hear
about us?

FAX

E-mail
Referred by (Mrs. Jones)

 

We respect your email privacy. We promise to never sell, barter or rent your email address to any unauthorized third party.  Please be aware that the information above will be sent via email and/or fax.

Dentist
In Scottsdale Arizona and the surrounding
Phoenix - Tempe - Mesa - Chandler AZ areas.

Copyright 2005   Internet Dental Alliance, Inc.

Terms of Use
 
Home   Meet the Dentist   What we offer   Map & Hours   Appointments   Ask the dentist   Newsletter Signup   Financing