Appointment Request

(909) 889-9591

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.
WALK-IN Welcome for current patients on limited basis. Please call for info. New patients are only by appointment.

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):


Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

   CareCredit® Dental Financing: We offer flexible payment options / So you can get the care you want or need  



9-11 AM & 2-3:30 PM M-TH & F 8-12


M-Th: 9-6, Fri: 8-5,  Sat-Sun: Closed

Emergency Contact (909) 882-8737


Lee W. Sulaeman, D.D.S., MAGD
25054 E Baseline Street
San Bernardino, CA 92410
Phone: 1-888-happydr (1-888-427-7937)  (909) 889-9591

Healthy Smiles

What does your smile say about you? Let us help you radiate confidence with a healthy smile.