Contact & Sign Up

Sign up or get in touch

Create your account below. Have a question instead? Use the same form and we'll reply by email.

◆

Mailing Address

12055 Vance Jackson Rd, Suite 103
San Antonio, TX 78230
United States

◆

Email

support@dentalwish.org

◆

Principal Officer

Dave Jequinto
12055 Vance Jackson Rd, Suite 103
San Antonio, TX 78230

☎

Executive Office Line

(210) 568-9800

☎

Patient Care Desk

(210) 568-9801

Applications & Intake

Sign-up

Fields marked * are required. Text-message consent is optional and never required to sign up.

Full name *

Email address *

Mobile phone number

Message (optional)

We use the mobile number you provide only to deliver the messages described above. Your mobile opt-in and phone number will never be sold, rented, or shared with any third parties or affiliates for marketing purposes. You can withdraw consent at any time by replying STOP.

By signing up you agree to our Terms & Conditions, Privacy Policy, and SMS Terms & Conditions.