Green campaign

Green Campaign
Please Help us go Green for 2012

In the message section below:
please indicate whether we could send your statement by email,
and confirm your appointments by email, text or just call you.

Please fill out the form below: Please include any and all telephone numbers that we can reach you at including cell phone#
Also in the message section, please indicate any changes in your insurance (since your last visit) as well as your statement and appointment preferences

The privacy of our patients is important to us. We DO NOT share your information. We strickly abide by HIPA rules

* First name (required):

* Last name (required):
* E-mail address (required):

Phone number:
* Message (required):

I want to receive newsletters, updates, and special offers

Howard Fleiner, D.D.S.

General and Cosmetic Dentistry