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Last Name
Bartolome
First Name
Jiselle
Middle Name
Alcantara
Birthdate
February 18, 1996
Age
25
Street
155 Caliraya Drive, Marian Lakeview Park Subd
Barangay
San Martin De Pores
City
Paranaque City
Country
philippines
Zip Code
1231
Contact number
9177210218
Procedure
12/04/21-OP-mild 12/02/23- OP 12/06/23- TEETH WHITENING PROMO SHADE: B2 TO A1 FREEBIES: TAKE HOME WHITENING KIT 09/21/24 OP mild 09/24/24 LC #28 B,O LC #27 B,D, O 10/05/24 LC #16 O (deep seated) #18 O,D CaoH 05/03/25 op 05/10/25 LC #36,46 (O,B) LC #26,37,47 (O) 05/24/25 installed of brace roth 0.22 14 NITI U/L 06/21/25 adj same wire 07/19/25 adj, same wire reposition #45 08/16/25 aDJ 10/30/25 adj 18 NiTi upper and lower 11/22/25 adj same wire 12/20/25 adj 18 NiTi upper 18 SS lower Fox 3.5oz 1/17/26 adj 18 reverse curve wire 18 ss lower rabbit 3.5 oz 2/28/26 SAME WIRE U/L BOX ELASTIC 5OZ RABBIT FROM 13-14 TO 43-44 AND 23-24 TO 33-34
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Retain Record
Yes