Main Street Orthodontics of Miami Lakes

Request an Appointment

When applicable, appointments are to be scheduled in advance. During our office hours every effort is made to stay on schedule, however emergencies occur and our staff can be delayed. Please be sure to provide an email and phone where you might be reached prior to your appointment and feel free to call us to confirm your appointment status.

New patients: please be sure to review our new patient information before your first appointment

Patient Name*:
Patient Date of Birth*:
Responsible Party Name:(if different)
Patient Type*:
Preferred Day*:
Preferred Time*:
Email*:
Phone*:
Contact Me*:


Payment Method*:
Questions / Comments:
 
 
What Our Patients Say About Us

“Service is great”

– Christian P.