Patient Forms


Part of providing for our patients is making sure that their appointment with our dentist goes as smoothly as possible. Complete a form below and we can get your appointment with Dr. Eduardo Díaz underway, even before you step into our dental office in San Diego, California. If you have questions about North Park Smiles’s patient forms, phone us at 619-220-0548.


Registration Form


Medical History Simple


Financial Agreement



Featured Services

Family Dentistry

Laser Treatments


TMJ Treatment

Cosmetic Care

Dental Implants


Sleep Apnea Treatment


North Park Smiles
3638 El Cajon Blvd
North Park

San Diego, CA 92104
Phone: 619-320-1231
Fax: 619-220-8604

Office Hours

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