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Last Name
Lumantas
First Name
gellie vallerie
Middle Name
tumanda
Birthdate
January 26, 1993
Age
30
Street
Rada
Barangay
Legazpi village
City
Makati city
Country
Philippines
Zip Code
1229
Contact number
09175345156
Procedure
01-09-24 (anterior upper) 6 units veneers shade A3/A2 OP w ozone Repair veneer #23
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Retain Record
Yes