Online Patient Referral Form

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    We strongly recommend you arrange an immediate appointment with your referring dentist following the completion of the treatment at our office.

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    (832) 431-4600  phone
    (832) 431-4601   fax

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    OFFICE HOURS

    Mon – Sat | 8am – 5pm
    Sun | Closed

    Call for After-Hours
    Emergency Visits

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    Request Your Appointment!

    To schedule your appointment, please call our office at (832) 431-4600 or fill out the form below and we will reach out to you to confirm your appointment details.