Patient Forms

No Dental Insurance...WE CAN HELP! Click here to find out more!

Attached below are new patient forms that will need to be filled out once you arrive for your appointment. By printing them and filling them out now, you will allow our team to attend to your needs more quickly. Thank you!

Call Smiles Dental at 650.964.2626 if you have any questions.


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.


Call or TEXT 6509642626

100 W. El Camino Real Suite 63A, Mountain View, CA, 94040

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Open hours

MON:8:00 am - 5:00 pm
TUE - WED:8:00 am - 6:00 pm
THU:8:00 am - 5:00 pm
Friday(Invisalign & oral-Surgery)


Smiles Dental Care is ranked as
a top Dentist in Mountain View,
CA 94040 CA
Verified by

5 years in a row!