Download, print, and fill out our forms beforehand. Be prepared and your kid's dental visit will be smooth and easy.
Let's focus more on your child's oral health instead of meaningless waiting time. That is why we offer these downloadable PDF forms. for your convenience the forms that need to be reviewed and completed are listed below. Just click on the links below and you can download the forms to your computer, print them and fill them out on your time!
Please bring the completed forms with you when you visit Smile Factory Pediatric Dentistry.
Dr. Alejandro Esquivel earned his DDS from the University of Monterrey, Mexico. He then attended the University of Puerto Rico and received his specialty degree in Pediatric Dentistry. After a one year Fellowship at the Children's Hospital of Colorado, he decided to offer his care to the children of Eagle Pass, TX and surrounding areas.
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Smile Factory accepts Denta Quest, Group & Pension, Health Smart, MCNA Dental, Medicaid, Metlife, and Texas Medicaid Healthcare Partnership! Not sure if you will be covered?
Please book an appointment or give us a call at (830)757-9700. Walk-ins are always welcome.
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