Make An Appointment

To make an appointment, use our Appointment Request Form below, and our staff will reach you shortly! If you are an existing patient, this contact form should not be utilized for communicating private health information.

Privacy Policy
Your Name*
Your E-mail Address*
Your Phone Number
Preferred Office
- Houston Office
- Sugar Land Office
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
Initials
This field is for validation purposes and should be left unchanged.