Book a visit

Fill this in and we will call you back within one working day to confirm a time. If it is urgent, please call instead — we hold slots every day for exactly that.

Call us: 555-555-55-55
Answered by reception, not a menu system

Email: contact@azaltetech.com

Address: 1420 NW Marshall St
Portland, OR 97209
Get directions

Opening hours: Monday – Thursday 8:00 – 18:00
Friday 8:00 – 15:00
Saturday 9:00 – 13:00
Sunday closed

Insurance: In-network with Delta Dental, Cigna and MetLife.
Out-of-network claims filed on your behalf.

Full name

Phone

What is this about?

Are you already a patient?

Preferred day or time (optional)

Anything we should know? (optional)

We will never share your details. This form does not book a confirmed slot — we will call you to agree a time first.

Thanks, there — that is with us.
Reception will call you within one working day to confirm a time. If it turns urgent before then, please ring 555-555-55-55.

Urgent

If you are in pain right now

Do not use the form. Call 555-555-55-55 before 11am and we will see you the same day. Outside opening hours the line gives you the on-call number for the Portland dental emergency service.

Knocked-out tooth

Hold it by the crown, not the root. Keep it in milk. Call immediately — the first hour matters most.

Swelling in the face or jaw

Call us the same morning. If it is spreading towards the eye or throat, go to an emergency department.

Lost filling or crown

Uncomfortable but rarely an emergency. Avoid that side and call for the next available slot.

Bleeding after an extraction

Bite firmly on clean gauze for twenty minutes. Still bleeding after an hour, call us.