If your are reading this you either have javascript disabled or are missing the flash plugin.
Click here to download the plugin.

Schedule an Appointment

Full Name:
Address:
Day-Time Phone Number:
Alternate Phone Number:
Email Address:

I would like to (choose one):

Schedule a complimentary cosmetic consultation
Schedule a new patient appointment
Schedule a routine checkup
Schedule a comprehensive dental exam
Not sure (For example: My tooth hurts and I need to see the doctor.)

Are you currently a patient with us?

Yes
No

If you are a new patient where did you first hear about the practice?

From a Friend
Your Web Site
Through a Search Engine (Google, MSN)
Other (field to type in "other"):

Additional Comments:

 

 

 

See Dr. Shimizu's
award winning case

See Dr. Shimizu on channel ABC TV

Dr. Ned Shimizu

11757 Katy Freeway
Suite 960
Houston, TX 77079

Phone: 281.531.0710
Fax: 281.531.0720

drnedshimizu@aol.com

Have a question or comment? Please fill out and submit the form below.

We speak Spanish, Vietnamese and Japanese