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Last Name
Diola
First Name
Ben
Middle Name
M.
Birthdate
November 2, 1975
Age
43
Street
Barangay
City
Country
Philippines
Zip Code
Contact number
09156217022
Procedure
01-12-2019 > OP = 800 > 2 TEETH #16 EXO =600 > #17 EXO = 600 01-14-2019 > 2 TEETH #37 = 600 #27 = 600 #25 = FREE
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Retain Record
Yes