Request an Appointment


Lakeshore Dental Centre
330 Notre Dame Street , P.O. Box 670
Belle River, ON N0R 1A0
(519) 728-0777
(519) 728-2237 fax

To request appointment availability, please fill out the form below. Our scheduling coordinator will contact you to confirm your appointment.

Is there a specific date that you would prefer?
,

What day of the week would you like to come in?


What time do you prefer?


Full Name


Email Address


Phone Number
( ) -

Please describe the nature of your appointment :