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Last Name
Tubera
First Name
Gracielle Deanne
Middle Name
B
Birthdate
December 13, 1992
Age
33
Street
Malugay St
Barangay
Bel-Air
City
Makati
Country
Philippines
Zip Code
1209
Contact number
09171431392
Procedure
01/06/26 teeth whitening with OP package 4599 initial shade: a3.5 final shade: A2 dx: fluorosis level 1 rx: Gc toothmousse
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Retain Record
Yes