Appointment Request

 Request An Appointment With Our Capitola Pediatric Dentist - Dr. Seth L. Reder

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact us at our Santa Cruz pediatric dental office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Office Hours

Monday-Thursday: 8:00am – 5:00pm

Contact Info

2001 40th Avenue, Suite G

Capitola, CA 95010

Tel: 831-464-5555

Email: info@capitolakidsdentistry.com

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

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


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.

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