Referrals

Dentist Referrals by Location

To refer a patient to our practice, please fill out the information and our team will be in touch with you as soon as possible. Thank you for trusting us with your referral! 

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Patient Info
Patient's Name*
Patient's DOB*
Location*
Referring Provider
Doctor Name*
Patient is Referred for*
Reason for Referral*
If Patient has Medicaid
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Meet Our Doctors

Our pediatric specialists and staff love children and are specially trained to put them at ease. We teach your children the proper way to take care of their teeth; but just as important, they learn that going to the dentist can be fun.

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5 Amazing Locations in Houston, TX

North Freeway Office

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Telephone Rd Office

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Willow Chase Office

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FM 1960 Office

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Bissonnet Office

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¡Se Habla Español! We Accept Medicaid!