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Financing Application

We make it easy for you to get the dental treatment you need Now and pay for it over time with our Financing Program.
Come to any of our 7 locations and have your initial consultation and then let us finance you that day; it only takes a few minutes.

  • NO credit required
  • Instant Approval

In house financing is available for procedures up to $5000.00.

If you have questions Call and Speak To Our Financing Specialists at 713-597-5170

Fill out this application form if you believe you might need financing for your dental procedure.
No Credit Inquiry will appear on your Credit Report.
  • If you are unsure which office you may select "I Am Not Sure"
  • If different from applicant
  • Employment Information

  • Your total verifiable gross income might include your salary, retirement income or other sources of income. You don't have to include alimony, child support, or separate maintenance income unless you want it considered as a basis for repayment
  • Financial Information

    You May Provide The Specific Financial Account Information Below At Your Appointment. By Providing It Now It Will Speed The Process Of Your Financing.
  • Checking Account

  • Savings Account

  • Credit Cards

    Mastercard, Visa, or American Express