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Forms

If you are a new patient to our office, please print these three forms, fill them out, and bring them to your first visit: 

  1. registration_form
  2. medical_history_form
  3. office-policy-form

 


Formularios en Español

Si usted es un paciente nuevo de nuestra oficina, favor de imprimir estos tres documentos, llenar su informacion, y traerlos a su primera cita:

  1. formulario-de-polizas
  2. formulario-de-registro
  3. formulario-medico

 


Other forms

dental-pre-medication-form

records-release-form

 

 

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Meet Our Doctors

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Dr. Francisco Mondragón

Dr. Mondragón is a native of San Diego. He was raised in Imperial Beach and completed his undergraduate education at SDSU. He then attended UCLA, one of the most prestigious dental schools in the nation. He received his Doctor of Dental Surgery degree in 1998.

At UCLA, he was one of the few to be selected to the Advanced Education in General Dentistry Senior Select Program where he treated some of the most challenging dental cases in the clinic. After graduating, Dr. Mondragón stayed at UCLA another year and completed a residency program of advanced training in general dentistry. He was then recruited to work along side prominent faculty members of UCLA and USC at a multi-specialty private office in Los Angeles.

Dr. Mondragón returned to San Diego in 2000 after his wife finished medical school at UCLA. He has been practicing in the Bonita area since then. He currently lives in the South Bay area with his wife and two sons.

Dr. Mondragón is a current member of the American Dental Association, California Dental Association, San Diego Dental Society, and South County Advanced Study Club.


tillnerDr. Melisa Tillner

Dr. Tillner was raised in Chicago and completed her undergraduate education at Denison University. She then attended University of Illinois at Chicago School of Dentistry. She received her Doctor of Dental Surgery degree in 2006.

Dr. Tillner lives in San Diego with her husband and her two children. She is a current member of the American Dental Association, California Dental Association, San Diego, and Dental Society.

 

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