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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

First Name: *

Last Name: *

Phone Number: *

Email address: *

Current Dentist: *

What is the reason for the appointment?: *

  Wisdom Teeth Removals
  Dental Implants
  Other Consultation/Procedure

All other dental extractions or appointment requests require a referral from your dentist or primary care physician.

Preferred Office: *

Honolulu Waipio First Available - Either Office  

Comment or Question:



How do you prefer to be contacted?: *

  Email   Phone  


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Pacific Maxillofacial Center Logo


1060 Young St #312
Honolulu, HI 96814-1604


Office: 808-585-8455
Email: Send us an Email

Office hours

Mon-Fri 8:00am to 5:00pm


94-1221 Ka Uka Blvd #B-204
Waipahu, HI 96797


Office: 808-676-9560
Email: Send us an Email

Office hours

Mon-Fri 8:00am to 5:00pm

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Request an Oral Surgery Appointment Online in Honolulu & Oahu
At Pacific Maxillofacial Center, we make it easy to request your appointment online. Access your online form here, and we'll get in touch with you to confirm!
Pacific Maxillofacial Center, 1060 Young Street #312, Honolulu, HI 96814; 808-585-8455;; 7/24/2024; Tags: Dental Implants Honolulu;