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Last Name: Amentao

First Name: Joharie

Middle Name: Madrinian

Birthdate: December 26, 1989

Age: 34

Street: 0249 Pabalan St.

Barangay: Manibalang Paralaya Porac

City: Pampanga

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Zip Code

Contact number: 09190601226

Email

Procedure: 02/27/24 -check up 03/07/24 3 MONTHS WARRANTY -OP 1000 -D.C.V ( nano ceramic) -20,00 -#14 to 24 shade A02/A2/INc 04-05-24 Veneers retouch 06/29/24 OP veneers polishing 08/16/24 LC #14 OD #11 D #24 OD #44 MOD

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Retain Record: Yes