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Last Name: Calimlim

First Name: Kimberly Rose

Middle Name

Birthdate: January 27, 1998

Age: 20

Street: Laureano 01

Barangay: Trevi

City: Makati

Country: Philippines

Zip Code

Contact number: 9351978470

Email

Procedure: 12/07/22- LC DO- #15 repair veneer 21/31 1/21/22- veneer installation emax- 1/12/11/21/22/23- a3 cervical b2 inc hybrid co 31- A3 04/19/22 - 23 redo 04/22/22- installed 23 veneers 05/30/23- #23 - recement veneers; restore incisal thirds of veneer because its already chipped (pt is aware of this) #41 - Direct veneers (natama daw nung nag edge to edge bite siya tapos natanggal) 11/14/23- #23 Distal, #31 co veneers, OP w/ polishing 04/13/24 Air polish 10/22/24 repair veneer 08/05/25 repair veneer #31 OP veneer

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Retain Record: Yes