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Last Name: Hermano

First Name: Yesha

Middle Name: D.

Birthdate: December 27, 2006

Age: 12

Street: 10c Canada St.

Barangay: n/a

City: Taguig City

Country: PHILIPPPINES

Zip Code: n/a

Contact number: 09225580323

Email: Yesha.hermano27@gmail.com

Procedure: 02/06/21 closing of spcae bet 15-13 change power o lower 09-25-21 - 16x22 ss u/l for removal of braces next month 11/06/21 - for removal of braces adj- change ligaties 1/15/22- Same wire for removal on June 02/26/22 same wire. rw 43 04/08/22- ADJ 5/25/22- braces removal/ impression for retainers/ before and after photos

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Retain Record: Yes