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Request an Appointment

The first step towards a healthy smile is to schedule an appointment with us. Please call our Houston - Medical Center office (713-795-4120) or complete this appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

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Your Name*
Your E-mail Address*
Your Phone Number
Preferred Office Location*
- Houston - Medical Center
- Baytown
- Pearland
I am interested in
- Scheduling Appointment
- Dental Implants
- Wisdom Teeth
- Jaw Surgery
- TMJ Disorder
Best Time for Appointment
- Morning
- Afternoon
Preferred Day of Week
- M
- T
- W
- Th
- F
How did you hear about us?
Comments/Questions
Website
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