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Last Name
De Vera
First Name
Dave Alexi
Middle Name
D.
Birthdate
August 2, 1995
Age
25
Street
56 ML Quezon St.,
Barangay
New Lower Bicutan
City
Taguig City
Country
Philippines
Zip Code
1630
Contact number
09156008014
Procedure
10/27/21-adj 16ssUL class 2 elastic-fox lower move to midline to left 01/05/22- Lower move to midline- left rabbit 23-24 to 34 2/11/22- lower to midline - left/ cross elastic monkey- 43 to 23/ 16x16 U/ same wire lower 04/03/22- 16x 16 ss U/ L 16 ss upright 33/34/35 07/14/22 -25 BT/ upper anterior for RPI/ RW 32 8/31/22 - same wire, chain upper w/ ind #12-22, 9/28/22 - UL SAME WIRE; U CHAIN IND #12-22, L INDIV CHAIN #44-45 11/16/22-adj 01/14/23-adj 06/28/23- Informed Consent Ortho/Adjust/UL - Same wire/Chain upper Reattach #44 08/11/23- adj 10/17/23- same wire RW 31/ 45 class 2 elastic rabbit for 2 months for december adj January removal 12/09/23- 16 22 UL ss chipmunk 01/16/24 - brace removal impression for retainers ul
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Retain Record
Yes