Dentist Moorestown Appointment Request

Visit Your Dentist in Moorestown NJ Today!

If you want to schedule an appointment with your dentist in Moorestown, we've made it easier than ever with the use of our online form. After you submit your request, we'll be able to reach out to you in order to finalize the details with the best date and time that works for you. Start your journey towards a beautiful, healthy smile with Dr. Maliha today! If you have any questions or would like to schedule an appointment over the phone, simply give us a call at (856) 222-3445.


*Note: Please include an email address to ensure our office can reach out to you ASAP.



Patient Information (* denotes fields that are required)
Patient Name*
Phone Number*
Email Address
Are you a current patient?
No Yes
Best time(s) to call?
Morning Noon Afternoon Evening
Appointment Information
Preferred Appt Date
Preferred Appt Time
Describe the nature of your appointment or any other comments