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Last Name
Galvez
First Name
Em
Middle Name
Quizon
Birthdate
September 18, 1994
Age
32
Street
Leviste
Barangay
Bel-air
City
Makati
Country
Ph
Zip Code
1209
Contact number
09684392643
Procedure
07/04/26 - Ms. Kim - oral prophylaxis; moderate - for ortho; metal brace - intraoral images - 12 series x-ray - 3D scanning for resto 16 - O 17 - O 18 - O 24 - O 25 - O 26 - O 27 - O 28 - O 34 - O 35 - O 36 - O 37 - O 38 - O 44 - O 45 - O 47 - O 48 - O 07/10/26 - Dr. Thea installation of brace: MBT 14 NiTi upper and lower Class I, type II 08/08/26 adjustment LC # 48 - occlusal
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Retain Record
Yes