Santiago Surillo, DDS, MS
Pediatric Dentist
Orthodontist
Diplomate of the American Board of Orthodontics

Kenneth R. Whitcomb , DDS
Pediatric Dentist
Diplomate of the American Board of Pediatric Dentistry

 
 
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Forms
The forms linked below are for registration and information. Forms are in Adobe Acrobat format. Adobe Acrobat Reader is required to read and print these forms and is available as a free download.
 
  New Patient Form New Patient Form
Informed Consent Form Informed Consent Form
Informed Consent Form Medical History
Looking Ahead for Dental Health, Newborn to 1 Year Looking Ahead for Dental Health (Newborn to 1 Year)
Looking Ahead for Dental Health Looking Ahead for Dental Health (1 to 3 Years)
Looking Ahead for Dental Health Looking Ahead for Dental Health (3 to 6 Years)
Using Fluroide Effectively How to Use Fluoride Effectively to Protect Your Child’s Teeth
Teething Teething: The Eruption of Baby Teeth
   
   
 
4700 Spring Street, Suite 104 , La Mesa, CA 91941
(P) 619-461-6166   (F) 619-461-2508
Children's Braces and Dentistry is a Professional Dental Corporation