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Last Name
Romero
First Name
farah
Middle Name
duclan
Birthdate
August 2, 1981
Age
44
Street
McKinley road
Barangay
pinagsama
City
Taguig
Country
philippines
Zip Code
Contact number
09171717000
Procedure
9/30/25 2 units aluminsa crown r 2 units alumina crown l shade :Cervical- BL4 body-BL2 php 48,000 Dp 14,400, Bal.33,600 Scanning 10,000 DCV premuim 25k bal.68,600 10/09/2025 DCV premium - 25k 10/21/25 repair veneers 10/24/25 LC #36 - occlusal, mesial
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Retain Record
Yes