Request an Appointment

Request an appointment today from our Shelby Township or Macomb Township dental office to get started with your quality treatment from our experienced dentists.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Your Name*

Your Email*

Your Phone*

I'm Interested In*

Patient Type*

How Did You Hear About Us?*

Location to Contact*

Desired Appointment Date*

Depends on Availability

Desired Appointment Time*

Depends on Availability

Your Message*

SMS Opt-in

I agree to the Terms & Conditions and Privacy Policy, and consent to receive SMS communications from Ruffino & Whitford Cosmetic & Family Dentistry related to my dental appointments. Message frequency varies. Msg & data rates may apply. Reply STOP to unsubscribe, HELP for help.

CAPTCHA