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Service
Doctor
Calendar

October 2020

Sun Mon Tue Wed Thu Fri Sat

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25 26 27 28 29 30 31

October 26, 2020

9:00 AM

9:30 AM

10:00 AM

10:30 AM

11:00 AM

11:30 AM

12:00 PM

2:00 PM

2:30 PM

3:00 PM

October 27, 2020

9:30 AM

10:00 AM

10:30 AM

11:00 AM

October 29, 2020

9:00 AM

9:30 AM

10:00 AM

10:30 AM

11:00 AM

11:30 AM

12:00 PM

1:30 PM

2:00 PM

2:30 PM

3:00 PM

3:30 PM

4:00 PM

October 30, 2020

9:30 AM

10:00 AM

10:30 AM

11:00 AM

12:00 PM

1:30 PM

2:00 PM

2:30 PM

3:00 PM

4:30 PM

October 31, 2020

8:30 AM

9:00 AM

9:30 AM

10:00 AM

10:30 AM
ARE YOU A CURRENT PATIENT AT ZL DENTISTRY & ORTHODONTICS?*
- YES
- NO
PATIENT NAME*
EMAIL*
DATE OF BIRTH*
Date Format: MM slash DD slash YYYY
PHONE*
DO YOU HAVE DENTAL INSURANCE?*
- Yes
- No
IS PATIENT THE MAIN SUBSCRIBER?*
- Yes
- No
SUBSCRIBER NAME*
SUBSCRIBER DATE OF BIRTH*
Date Format: MM slash DD slash YYYY
DENTAL INSURANCE COMPANY*
CUSTOMER SERVICE #
SUBSCRIBER ID# OR SSN*
COMMENTS

LOCATION

17111 West Rd, Suite 101
Houston, TX 77095

HOURS

9:00 AM – 5:00 PM M, Tu, Th, Fri (dentist + ortho)
8:30 AM – 11:30 AM Sat (ortho only, by appt)

CONTACT

Phone: (832)377-5887 (call or text)
Email: FrontDesk@ZLSmiles.com

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