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Request an Appointment

This is an appointment request, please wait for our office to contact you to confirm if the time and date requested is available. All returning patients, please contact the office with any updated insurance information. New patients please fill out the new patient forms prior to your visit.
Thank you, Mita Dental

Contact information

First Name
Last Name
Phone

Appointment details

Preferred Date
Alternative Date 1
Alternative Date 2
Time
Reason for Appointment
Preferred Provider
Comments and Questions
Maximum of 250 characters

Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

2438 Brown St
Philadelphia, PA 19130

Mon - Tue: 9:00AM - 6:00PM

Wed: 9:00AM - 5:00PM

Thu: 9:00AM - 4:00PM

Fri: 9:00AM - 3:00PM

Sat - Sun: Closed