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Last Name: Navarro

First Name: Mary Anne

Middle Name

Birthdate: May 7, 1984

Age: 38

Street: Tuscany Private Estat

Barangay: Upper McKinley road, Brgy Pinagsama,

City: Taguig City

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Zip Code

Contact number: 09175921105

Email

Procedure: 5/21/22- OP & XRAY 6/14/22 - RCT / Eugenol 6/21/22- EDTa / tf 8/17/22 - FILE #25 20mm; Irrigate/ EDTA/ TF 8/20/22- guttapercha 30/ 21.5mm/ obturation with MTA veneer 11 shade- opaquer/ A3 cervical body A2/ insical 08/08/23-LC #35 Distal,Cervical Caoh/LC #37 Mesial,OP,X-ray/anesthesia 08/26/23- for RCT #35 / Check up 06/14/24 Op(heavy) #35 alumina crown 06/21/24 Install of crown 12/20/24 OP heavy LC #34 occ. deep

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Retain Record: Yes