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Request an Appointment

Please fill out the form below and we will contact you with an appointment time. Required fields are marked with asterisks (*).

Patient Information

Name: *

Phone: *

Email address: *

Have you visited our office before? *

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What is the reason for the appointment? *

  Regular Exam / Cleaning
  Specific Concern / Procedure

What concerns, if any, would you like to speak to the doctor about:

How do you prefer to be contacted? *

  Email   Phone  

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Get in Touch




Office Hours:


Mon: alternate 8am - 5pm/Closed
Tue: 9am - 6pm
Wed: 9am - 6pm
Thu: 8am - 5pm
Fri: alternate 8am - 5pm/Closed
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Dentist Woodburn OR | About Mid Valley Family Dental
At Mid Valley Family Dental, we pride ourselves on our commitment to excellence, integrity, and quality care through the many services we provide in Woodburn, OR.
Mid Valley Family Dental, 745 Ray J. Glatt Circle, Woodburn, OR 97071-7629 ^ (503) 981-5111 ^ midvalleyfamilydental.com ^ 10/15/2024 ^ Page Terms:dentist Woodburn OR ^