Welcome to the Head Start San Joaquin online application. *Note: Only one application per family is needed. Staff will contact you to add additional children*
Parent/Guardian
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Email Address (Required)
Confirm Email Address
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
White
Hispanic
Yes
No
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
H.S. and some College
High School Graduate
Master's Degree
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Address
Is your family experiencing homelessness?
Yes
No
Living Address (Required)
Address Line 2
City (Required)
State (Required)
ZIP (Required)
Click here
to find a provider in your area.
Mailing Address same as Living Address
Mailing Address
Address Line 2
City
State
ZIP
Additional Parent/Guardian
Is there another parent/guardian in the family?
Yes
No
First Name (Required)
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Mobile Phone
Opt In for Text Messages
Yes
No
Home Phone
Work Phone
Ext.
It appears that you have previously submitted an application. If you wish to apply again, please contact us by phone or in person.
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
White
Hispanic
Yes
No
Highest Grade Completed
Associate's Degree
Bachelor's Degree
College Degree/Training Cert.
College or Advance Training
General Education Diploma
Grade 10
Grade 11
Grade 12
Grade 9 or less
H.S. and some College
High School Graduate
Master's Degree
Employment Status
Full-time & Training
Full-time (35 hours/week or more)
Part-time & Training
Part-time (Under 35 hours/week)
Retired or Disabled
Seasonally Employed
Training or School
Unemployed
Child's Relationship
Biological/Adopted/Step
Foster
Grandchild
Other
Other Relative
Family Information
Number of Parents/Guardians
One Parent Family
Two Parent Family
Relationship to Participant(s)
Foster parent(s) not including relatives
Grandparent(s)
Other
Parent(s) (e.g. biological, adoptive, stepparents)
Relative(s) other than grandparents
Primary Language at Home
American Sign Language
Amharic (Ethiopian Origin)
Arabic
Arabic
Arabic
Armenian
Assyrian
Bengali
Burmese
Cambodian
Cambodian
Cantonese
Cantonese
Cantonese
Chinese
Dari (Afghani Persian)
English
Ethiopian
Farsi
Farsi
Farsi
Fijian
French
German
Gujarati
Hindi
Hindi
Hindi
Hindko
Hmong
Hmong
Igbo (Nigerian)
Indonesian
Japanese
Khmer
Korean
Korean
Kyrgyz
Lao
Marshallese
Mien
Mongolian
Napali
Native American Languages
Nigerian/African
Oromo (Somalia/Ethiopia)
Other (non-English)
Other non-English
OTHER(SPECIFY IN COMMENTS)
Pakistani
Pashto
Pashto
Philipino
Philipino Dialect (Ilocano)
Polish
Portugese
Punjabi
Punjabi
Punjabi
Romanian
Russian
Samoan
Serbian
Spanish
Spanish
Swahili
Tagalog
Tagalog
Taiwanese
Tamil
Thai
Tongan
Turkish
Turkmen
Ukrainian
Urdu
Urdu
Uzbek
Vietnamese
Vietnamese
Vietnamese
Yoruban-Nigerian
Is another language being acquired or learned at home?
Yes
No
Number in Household
Gross Annual Income
Is your family receiving cash benefits or other services under the Temporary Assistance for Needy Families (TANF) program?
Yes
No
Is your family receiving Supplemental Security Income (SSI)?
Yes
No
Is your family receiving services from WIC?
Yes
No
Is your family receiving services under the Supplemental Nutrition Assistance Program (SNAP), formerly referred to as Food Stamps?
Yes
No
Child (Applicant)
First Name (Required)
Middle Name
Last Name (Required)
Birthday (Required)
Gender
Female
Male
Race
American Indian or Alaska Native
Asian
Black or African American
Multi-racial/Biracial
Native Hawaiian/Other Pacific Islander
Other
White
Hispanic
Yes
No
Primary Health Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Doctor/Medical Home
A. Kefuani
A. Manal, MD
Aarti Joseph, MD
Abelardo V. Mayo, MD
Abhilasha Jamwal, MD
Adventist Health
Adventist Health Trinity
Aejaz Ahmed, MD
Ala Elayyan, MD
Alameda County Medical Center
Albert Yu
Alberto Cajigas, MD
Alfred D. Troncales, MD
Amy Kostishack MD
Ana R. Revilla, MD
Andrea Santos, NP
Ange Mouttapa, MD
Angela Lin Chang, MD
Ann Marie Truscello MD
Anna B. Derdzinska, MD
Anna Ivester, MD
Annette Coronel-Perey
Anthem Blue Cross
Antioch Health Center
Anuradha Dubey, MD
Anushri Oza, MD
Apex Medical Group
Armand R. Hernandez, MD
Arnold Blustein, MD
Arundhathi Halappa, MD
Arvin Community Health Center
Arvinder Thiara, MD
Ashish Loomba, MD
Asma Bano Jafri, MD
Athena Taylan MD
Atul Khanna, MD
Axis Community Health
Ayman Ghozlan, DDS
Bay Area Community Health
Bayside Medical Group
Beatriz Villabona, MD
Becker Pediatric Medical Corp.
Betalina Blanco-Bumatay, MD
Betty Tsang, MD
Bhagya Nakka MD
Brentwood Health Center
Brentwood Health Center
CAPC Outpatient
Carmelita Nisperos, MD
Carol Cahill, MD
Carol Glann, MD
Castro Valley Pediatrics
Ceasar Chavez Family Practice
Center For Sight
Central Bakersfield Community He
Cesar C. Pabustan, MD
Cesar Dua, MD
Channel Medical Center Manteca
Charles R. McCormick, MD
Child Advocacy Center
Children Health Services
Children's Advocacy Center
Children's First Medical Group
Children's Health Center SF
Children's Health Services
Chinh T. Nguyen, OD
Christopher Doria, MD
Christopher Morales-Phan PA-C
Claricia S. Shepherd, MD
Clovis Pediatric Group
CMC California Street
CMC Channel
CMC Dorothy Jones Clinic
CMC East March Lane
CMC King
CMC Lodi
CMC Lodi Vine Pediatrics
CMC Manteca
CMC Mariposa
CMC St. Mary's
CMC Sutter Street
CMC Tracy
CMC Waterloo
CMC West Lane
Community Medical Center
Community Medical Center (Channe
Community Medical Center (March)
Community Medical Center Waterlo
Community Medical Center West La
Community Medical Centers
Community Medical Centers
Community Medical Centers
Community Medical Centers Maripo
Contra Costa Health Services
Courtney Taylor
Daisy Jones, DO
Danilo S. Yumul, MD
David A. Bergman, MD
Davina Menezes, M.D.
Dawnette Person, FNP
Debbie Haslie
Deborah Shassetz, DO
Delhi Health Center
Denise Guendert, MD
Dignity Health-St. Josephs
Dr. Aejaz Ahmed
Dr. Anat Lotan
Dr. Angeline Hadiwidjaja
Dr. Ann Truscello
Dr. Anna B Derdzinska
Dr. Anuradha Dubey
Dr. Arlaine Gutierrez
Dr. Balduzzi (Sutter Health)
Dr. Betalina Bumatay
Dr. Carmelita C. Nisperos
Dr. Carol Cahill
Dr. Cesar C. Pabustan
Dr. Charles McCormick
Dr. Christine Battaglia
Dr. Christopher Doria
DR. Cyndi C Eden
Dr. Daisy Jones
Dr. Daniel Cooper
Dr. Daniel Yumul
Dr. De Ocampo Emillie
Dr. Eric Wells
Dr. Felipe Dominguez
Dr. Florinda Mallorca
Dr. Gary E Bean
Dr. Geny B Burgos
Dr. Harleen Kailey
Dr. Helene Novesteras
Dr. Jagmohan S Bhinder
Dr. Jaling Hua
Dr. Jessica Yasnovsky
Dr. Katie Meyer
Dr. Kenneth Kwong Yau
Dr. Krystle M. Balduzzi
Dr. Linda Sakimura
Dr. Mamta Jain
Dr. Manuel De La Cruz
Dr. Mark M Lessner
Dr. Moosa Lunat
Dr. Natesan Rama
Dr. Parikh Rajul
Dr. Patricia C Apolinario
Dr. Princess Dela Pena
Dr. Roy Anunciacion
Dr. Sandra Lee
Dr. Shou I Lin
Dr. Soma Krishnamoorthi
Dr. Surinder S. Raron
Dr. Theresa Ng
Dr. Trinh Vu
Dr. Wivina T. Urbano
Dr. Wong
Dr. Yee
Dr. Yumuo
Dr.Billingmeyer
East Bay Pediatrics
Eaton Pediatrics & Medical
Eaton Pediatrics & Medical Corp
Eileen P. Primero, MD
Elaine Loth, PNP
Elk Grove Pediatrics
Ellen DeJong, MD
Eric D. Wells, MD
Erica Waters, MD
Escalon Community Health Center
Escalon Health Clinic
Esteban Lovato MD
Evergreen Family Practice
Family Extension Foster Care
Family First Medical Care
Family Medicine Clinic
Family Medicine Clinic
Fareen S. Rahman, MD
FCPP Manteca
Florinda Mallorca, MD
G. Barnard Wilson, OD
Gabriel Tanson
Galt Medical Center
Gardner Packard Children's Heath
Gentry Vu
Geny B. Burgos, MD
Gettysburg Medical Clinic
Gheorghe Ganea, MD
Gill OBGYN Medical Group Lodi
Gill OBGYN Medical Group Manteca
Gill OBGYN Medical Group Stockto
Gina Murphy, Elks Project
Glenview Pediatric Group
Gloria Doronio, RN
Godwin I. Okungbowa, MD
Golden Valley
Golden Valley Health Center Mant
Golden Valley Health Center Mant
Golden Valley Health Center Mode
Golden Valley Health Centers Pa
Goldridge Clinic
Gregory Bensch, MD
Health Beginnings Clinic
Health For All
Health Plan Of San Joaquin
Health Services Agency - Turlock
Healthy Beginnings
Healthy Beginnings-Prenatal Clin
Helene P. Novestras, MD
Herleen K. Kailey, MD
Hershminder Mann, OD
Hesham Kamel, M.D.
Hilltop Pediatrics
Hort Seng, DO
HSA Family & Pediatric Health
HT Family Physicians
Hurst
Ian Craig Brown, MD
Imeline H. Troncales, MD
Indian Health Center
Jack Lamendola MD
Janel Ojeda
Jay Ratilal, MD
Jennifer L. Martinez, MD
Julian Raymond Davis, MD, FAAP
Jussein Mandondato
Kaiser (Elk Grove)
Kaiser (Hayward)
Kaiser (Livermore)
Kaiser (Manteca)
Kaiser (Modesto)
Kaiser (Oakland)
Kaiser (Pinole)
Kaiser (Sacramento Point West)
Kaiser (San Leandro)
Kaiser (Santa Clara)
Kaiser (Stockton)
Kaiser (Tracy)
Kaiser (Walnut Creek)
Kaiser Permanente Elk Grove
Kaiser Permanente Fremont
Kaiser Permanente Manteca
Kaiser Permanente Modesto
Kaiser Permanente Stockton
Kaiser Permanente Tracy
Kathryn Cooney
Kathryn L. Larsson, OD
Kayla Mapps, MD
Keneth Kwong Yau
Kenneth L. Thomas, OD
Khaldoun Alkayed
KidzCare Pediatrics
Kimberly Hauner, MD
King Family Center Health Clinic
Kris Huang
Krystle Balduzzi
kuhlman P.
Kuw Xiong PA-C
La Clinica Davis Pediatrics
La Clinica De La Raza
Lake County Tribal Health
Lakimberly Price MD
Laura J. Akahori, FNP
Lauren K. Smith, MD
Lewis Woods Jr., MD
Li Che
Lien Nguyen
Lifelong Howard Daniel Health
Linda Sakimura
Lisa O'Neal FNP
Lisa Pickens UCP
Lisa Rose, AuD, F-AAA
Lita
Lodi Ave Care Center / Sutter Go
Lodi Children's clinic
Lodi Health Galt
Lodi Health Physicians (CMC)
Lodi Memorial Urgent Care
Lodi Pediatrics
Loretta F. Early
Lynda Macabales
Madison Clinic Pediatric Diabete
Mamta Jain, MD
Manteca Obstetrics And Gynecolog
Manteca Pediatric Medical Group
Manuel De La Cruz, MD
March Lane Pediatrics
March Lane Pediatrics Group
Mari Lewis
Maria De Guzman
Maria-Eloisa S Bernas
Marietta Sumaquial
Marina Castillo
Mark M Lessner
Mark Twain Family Medical Center
Mary P Joseph
Mary Raymond
Maryam Esho MD
McHenry Medical Office
Megan Black, SLP
Melba Berbano, MD
Melissa P. Manaig, M.D.
Michael A. LeNoir, MD
Michael Rehbein MD
Miguel Sanchez
Mike Pontius
Millsbridge Family Care
Minaleshoa Abye, MD
Modern Dental Health
Modesto Kidz Dental
Modesto Pediatrics
Moosa M. Lunat
Nabeel Madanat, MD
Naga Chitta
Nancy L. Brown, MD
Natesan Rama
Naval Med Center Camp Lejeune
Neda Issa M.D.
Neha Vashishtha, MD
NEMS
Neta Duvdevany, MD
Newark Health Center
Ngac Tien Tran
No Medical Provider
North Bay health care
not yet identified
Oak Valley Community Health Cent
Oakdale Community Health Center
Omar Akber
Pacific Urgent Care
Paradise Medical Office
Parvathy Thaikkendiyil
Patara Rojanavongse
Patricia C. Apolinario
Paul Chretien
Paul Waters
Ped. Med. Assoc. of East Bay
Pediatric Assoc. of Stockton
Pediatric Assoc. of Stockton
Pediatric Care of Stockton
Pediatric Clinic
Pediatric Medical Center Of Sac
Pediatric Palo Alto Medical foun
Phi Huynh
Pittsburg Health Center
Pixley Medical Center
Poonam Duggal
Prachi Chauhan
Prachi S. Chaterji
Princess Dela Pena MD
public health clinic
Public Health Services
Rabia Akhtar
Rainbow Medical Center
Raissa Hill D.O.
Rajul Parikh
Rakhi Mehrotra
Ramona Bahnam, MD
Randhir Singh, MD
Ravenwood Family Health Center
Rebeca Hernandez
Rebecca L. Speler
Regina Fung-Guen
Regina Wong, MD
Riverbank Community Health Cente
Rodrigo DeLaCruz MD
Rona Kalay
Rosemary Nunez-Davis, MD
Roy Anunciacion, MD
Ryan Vaccarezza
Sacramento Ear, Nose and Throat
Sacramento Family Medical Center
Sacramento Valley Pediatrics Med
San Antonio Neighborhood Health
San Bruno Pediatrics
San Francisco General Hospital
San Joaquin County (Manteca)
San Joaquin County Stockton
San Joaquin General Hospital
San Joaquin General Hospital Chi
San Jose Dental Surgery Center
San Jose High Neighborhood Clinc
San Mateo Fair Oaks Pediatrics
San Tso D.O.
Sang Pediatrics Medical Corp
Santa Clara County DSS
Santa Clara Valley Medical Ctr
Scipps Pediatric
Shawnda Johnson, MD
Shazia Afreen M.D.
Shou I Lin
Sierra Health Center
Singh
Sirak Workneh, DDS
SJCC French Camp Family Medicine
SJCC Manteca Clinic
Smija Jayaprakash
Smile Designs Dentistry
SMMC Pediatrics
Soma Krishnamoorthi
Sou Her
South California Dental
South Texas Center for Peds Care
St. Anthony Medical Clinic
Stanford Children's Health
Stanislaus County Family and Ped
Stanislaus County Health Service
Stanislaus County Office of Ed
Stanley Morrison
Steven L Billigmeier
Stockton Children Clinic
Stockton Children's Clinic
Stockton Hearing and Speech
Stockton Medical Plaza Pediatric
Stockton Pediatric
Stockton Pediatric Medical Gr
Stockton Pediatric Medical GrouP
Sudhakar Reddivalam, MD
Surinder S. Raron, MD
Sushma Indukuri, MD
Sutter East Bay Medical
Sutter Gould Jackson
Sutter Gould Lodi
Sutter Gould Modesto
Sutter Gould Stockton
Sutter Gould Tracy
Sutter Hayward
Sutter Health
Tai Tran, PA
Tareq A. Ali, MD
Taymour E. Malak, MD
TCC Family Health
Teda Arunrut, MD
Terri A. Vaccarezza, FNP
Thao L. Nguyen, MD
Tiburcio Vasquez Health Center
Tiburcio Vasquez San Leandro
Toni Moody, MD
Tracy Family Dental
Tracy Family Practice
Tracy Family Practice
Tri-City Health Center
Tribal Health Pediatrics & OB
Trinh Vu, MD
Turlock Pediatric Medical Group
UCSF Benioff Children's Hospital
UCSF Madison Clinic
UCSF Pediatric Dentistry
UCSF pediatrics at Mount Zion
UCSF Perinatal Medicine Spec.
UCSF Primary Care China Basin
Umar Akbar, MD
Urbano
Valley Health Center
Valley Health Center at Bascom
Valley Health Center Milpitas
Valley Mountain Regional Center
Valley Oak Pediatric Associates
Vashishatha
Vision Excellence
Vista Community Clinic (Pier)
Vista Community Clinic (River)
Walton Pediatrics and Medical
Watsonville Comm. Health Center
Watt Avenue Medical Clinic
West Lane Medical Clinic
West Pediatric Care
Wivina T. Urbano, MD
Woodbridge Medical Group
Yaminali M. Javid
Yi-Shiau Leu, MD
Dental Coverage
Children's Health Insurance Program (CHIP)
Combined Medicaid/CHIP
Medicaid
No Insurance
Other
Private Health Insurance
State-Only Funded Insurance
Dentist/Dental Home
1st Lathrop Dental
1st Lathrop Dental
A J Shirvan DDS
ABC Family Trust Dental
Abraham Corpuz, DDS
Access Dental Center
Alan S. Lee, DDS
Albert Katafias, DDS
All About Smiles
AllSmile Dental
AllSmile Dental Practice
Alta Dental
Amr M. Enaya, DDS
Angelita Luciano DMD
Anthem Blue Cross
Arlyn Heidi R. Donesa, DDS
Associated Dental Practice
Atienza Family Dental
Atienza Family Dental
Aura Family Dental
Awnie A. Ammar, DDS
Ayman Ghozlan, DDS
Bethel Kids Dental
Bethel Kids Dental Lodi
Bethel Kids Dental Manteca
Big Smiles in School Dental
Blake Kunimoto, DDS
Brad Louie, DDS
Bright Dental Office
Bright Now! Dental
Bright Smiles
Brite Dental Group
Brookside Dental Care
Cares Dental
Caressa W. Louie, DDS
Carlos Sanchez DDS
Central Coast Pediatric Dental
Charles Chi Hao Leung, DDS
Charles D. Klass, DDS
Charter Way Dental
Charter Way Dental
Children's Choice Dental Care
Children's Choice Dental Livermo
Children's Choice Dental Sac
Children's Choice Dental SF
Children's Choice Dental Stockto
Children's Dental
Children's Dental Fun Zone
Children's Dental Fun Zone
Children's Dental Surgery Center
Childrens choice dental
Chris Anderson, DDS
Christopher J. Kim, DDS
CMC Dental
CMC East March Lane
CMC Tracy Grant Line Dental
CMC Waterloo
CMC Weberstown Dental
Coast Dental
Comfort Dental
Comfort Dental Group
Community Medical Center
Community Medical Center Waterlo
Contra Costa Childrens Dentistry
Contreras Family Dental
Country Club Dental
Creative Vision Dental
Crescent Dental Care
Daisy Ison, DDS
Daniel R. Cotton, DDS
David D. Lee, DDS
David Q. Dinh, DDS
David S. Park, DDS
Davinder Manak DDS
Davinder Manak, DDS
Deborah Delfino, RDH
Del Rosario Dental
Delgado Dental Group
Delta Dental Sacramento
Delta Dental Stockton
Delta Surgical
Denise Bass Allen, DDS
Dental Care
Dental Source Of California
Diana Furukawa, DDS
Doan Vu
Dolphin Dental
Donald C. Huang DDS
Donald Huang, DDS
Donna Peterson, DDS
Dr. Chris Anderson
Dr. Daisy Ison
Dr. Elvis Tanson
Dr. Fleming
Dr. Francisca Acuman
Dr. Frank Chen
Dr. Ghozlan Dental Corp.
Dr. Hu
Dr. Joanna Cheung
Dr. Louie
Dr. Rafat S. Razi
Eastmont Mall
Edenvale Dental Office
Edith I. Mora, DMD
Edward Geropias DMD
Edward Y. Young, DDS
El Dorado Dental Center
El Dorado Dentist Center
Elite Dental
Elite Dental
Erica Waters, MD
Escalon Family Dental
Family Dental Center
Family Extension Foster Care
Fausto Prato DDS
Fernandes Richlyn DDS
First Smiles Children's Dentist
Forever Fun Children's Dentistry
forever fun dental
Francisca Acuman, DMD
Francisca G. Acuman, DMD
Frank F. Chen, DDS
Fremont Dental Group
Galt Dental Group
Galt Healthy Smiles
Galvez Dental Corporation
Gary Wong, DDS
Gentle Care Dental
Golden Valley
Golden Valley Dental Manteca
Golden Valley Health Center Los
Gotta Smile Dentistry
Grace Dental
Greenhaven Pediatric Dentistry
Grewal Dental Care
Grove Dental Group
Gurneet Chahal, DDS
Hailu Solomon Mehanzel, DMD
Hansel Poerwanto
Happy Kids Dental
Health For All
Health Plan Of San Joaquin
Hercules Kids Dentistry
Horizon Family Dental Care
Image Dental
Impressions Dental
Innovation Dental
James Rore DDS
Jamese B. Walker, DDS
Janet Declet, DMD
Janice R Work DDS
Janice R. Work, DDS
Jin Huang
Jose Galvez, DDS
Jose T Fidel DDS
Joseph M. King, DDS
Jow Ronald, DDS
Judee A. Tippett-Whyte, DDS
Judez Juppett
Judy Mojica, DDS
Keith Nguyen
Kenneth D. Thompson, DDS
Kettleman Dental Care
Kevin L. Fleming, DDS
Kevin T. Pham, DDS
Kids Care Dental
Kids Care Dental
Kids Care Dental & Orth Brooksid
Kids Care Dental & Ortho Lodi
Kids Care Dental & Ortho Manteca
Kids Care Dental & Ortho Rancho
Kids Care Dental & Ortho Tracy
Kids Care Dental and Orthodontic
Kids Care Dental Group-Lodi
Kids Care Dental Ortho San Jose
Kids Care Dental Stockton
Kids Care Dental Stone Creek
Kids Place Dentistry
Kids Smile Dental & Ortho Mantec
Kids Smile Dental & Orthodontics
Kids World Dental
Kids World Dental
Kuy E. Ky, DDS
Ky Cuong Nguyen DDS
La Clinic Dental
La Clinica De La Raza
La Rosa Dental Care
Laguna Park Dentistry
Lake County Tribal Health
Lakefront Smiles Stockton
Latino Americano Dental Office
Laura B Dodd
Le Chabot Dental
Le Chabot Dental
Le Dental Care of Stockton
Lester Low, DDS
Lien Nguyen
Linh de Luca DDS
Linh Nguyen
Lita
Little Fish Dental
Lodi Children's clinic
Lodi Dental Center
Lodi Health Smiles
Lodi Memorial Urgent Care
Lodi Pediatric Dentistry
Low Family Dental
Lucky Dental
Lulette Mercado DDS
Lynn Parker DDS
M. Luisa Bermudez
Mai Vo, DDS
Mai Vu, DDS
Manmeet Hothi
Manteca Dental Care
March Lane Dental
March Lane Smiles
Maria Paz S. David, DMD
Maria Steffan, DDS
Maria Theresa Guinto Oronce
Mark Chao DDS
Market Place Smiles
Martin Dentistry
Mary Ali Dental Care
Masood Cajee, DDS
Matthew Kim DDS
Maulik Shah
McHenry Village Dental Service
Millennium Dental
Miller's Family Dentistry
Minaleshoa Abye, MD
Modern Dental
Modern Dental Health
Modesto Kidz Dental
Modesto Kidz Dental
Modesto Modern Dentistry
Mora Dental Group
My Kid's Dental Stockton
My Kid's Dentist
My Kid's Dentist & Ortho Manteca
My Kids Dentist & Orthodontics
My Kids's Dentist
Native American Health Center
Navpreet Singh
NEMS
Nguyet M. Gguyen
Nguyet Nguyen
Nicasio M. Abriol Jr., DMD
no dental home
not yet identified
Nu Smile Dental
Oakdale Kids Dental and Orthodon
Oakdale Kids Dentist
OPK Dental
P. J. Singh DDS
Pacific Dental Group
Pamela Han
Park West Dental
Park West Dental Group
Patrick Ting So, DDS
Pavilion Dental
Pavilion Dental Office
Pediatric Dentistry of Tracy
Pediatric Dentristry of Tracy
Pediatric Medical Center Of Sac
Pj Singh Dental Corp
Pleasanton Pediatric Dentist
Plume Dental
Poonam Lu DDS
Premier Dental Practice
Principal Pos
Rafat Razi DMD
Ralph Zotovich DDS
Ratika Sharma
Ravenwood
Ravi Thind
Realon Marisol
Realon Marison, DDS
Richard Crum, DDS
Ripon Dental
River Oak Dental
River Oak Dental Spa
Riverbank Dental
Riverbank Dental Practice
Robinhood Dental
Rockville Smiles
Rolando De Jesus
Rolando De Jesus
Rommel K. Bal DDS
Rommel K. Bal, DDS
Ron Hernandez DDS
Ron Noriesta DDS
Ronald Noriesta
Ronaldo Opinga, DMD
Roseville Smile Family Dentistry
Rupinder Chahal DDS
Salida Dental Group
Salida Surgery Center
Sami Smiles Pediatric Dentistry
San Joaquin Teeth Program
San Joaquin Valley Dental
San Jose Dental Surgery Center
Shabestari
Shalee Nugyen DDS
Sheldon Dental Center
Shirley Zhao DDS
Singh Dental Center
Sirak Workneh, DDS
Smile 32 Dental
Smile Care Stockton
Smile Dental Spa
Smile Depot Dental Group
Smile Designs Dentistry
Smile Designs Dentistry
Smile Kingdom
Smile Pro Dental
Smile Shine Dental Escalon
Smile Time Dental
SmileLand (Tulare)
Smiles Depot Dental Group
Smiles Depot Dental Group
Smiles Unlimited Family Dental
Smites 4 All Dental
South California Dental
South California Dental Practice
Stadium Dental and Orthodontics
Stadium Dental Group And Orthodo
Stanley Morrison
Stanleyt Denski
Star Dental
Star Dental
Steven M. Otani DDS
Stockton Children's Surgery
Stockton Creative Dental
Suave Dental
Sung Yil Chu
Sunrise Dental Group
Syed Sayeedi
Tiburcio Vasquez San Leandro
tieu my huynh
Tinna T. Lee, DDS
Todd A. Franklin
Tooth Fairy Dental Center
Tooth Fairy Dental Stockton
Tracy Dental Excellence
Tracy Family Dental
Tracy Smiles Dentistry and Ortho
Tracy Smiles Dentistry And Ortho
Tuan H. Nguyen, DDS
Tynia Hilding
UCSF Pediatric Dentistry
Uyen Khnah V. Bui DDS
Vacaville Dental Care
Valley Oak Dental Group
Valley Oak Dental Group
Valley Oak Pediatric Associates
Valley View Dental
Valley View Dental
Venetian Family Dental
Victor M. Enriquez, DDS
Village Dental Care
Vimala Vontela DDS
Vista Community Clinic (River)
Vo H. Son, DDS
Vollie A. Calloway, DDS
Waterloo Dental Clinic
Weberstown Dental
Wei-Chiang Hu, DDS
WellSpace Health Dental Galt
Wesley Wong DDS
West Lane Family Dental
West Pediatric Care
West Valley Dental
Western Dental & Orthodontics
Western Dental & Orthodontics
Western Dental & Orthodontics
Western Dental & Orthodontics
Western Dental Briggsmore
Western Dental Cherokee Lane
Western Dental Corral Hollow
Western Dental E Yosemite
Western Dental Hammer Ln
Western Dental Kids Hammer
Western Dental Kids Sunnyvale
Western Dental March Lane
Western Dental MLK
Western Dental Prescott
Western Dental W. Yosemite
Western Dental West Lane
Western Dental Wilson Way
WIC Office
Will Cacho DDS
Willard H. Low, DDS
William Russ DDS
William Russ DDS
Wilner C. Cacho, DDS
Winchester Dental Place
Winston Lin, DDS
Wow Kids Dental
Yosemite Dental Arts
Yosemite Dental Care
Yosemite Dental Group
Youthful Tooth
Zohreh Eftekhari DDS
Zwahlen & Marshall Family Dentis
Does your child have a disability or do you have any concerns about your child's development?
Yes
No
Location Preferences
Which program are you applying for? (Required)
2023-2024 HSSJ EHS
2023-2024 HSSJ HS
1st Location Preference
<p></p>
2nd Location Preference
<p></p>
- Your Address
- Available Locations
Click a location on the map to see more info
Click here
to find a provider in your area.
Additional Applicant
Do you want to apply now for another child in your family?
Add Another Applicant
Siblings
Are there other children in the family?
Add a Sibling
Required information is missing, see above.