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Last Name: Yecla

First Name: Tiffany Shane

Middle Name: Dela Cruz

Birthdate: December 18, 1996

Age: 22

Street: 16 Masthead St.

Barangay: Fourth Estate Subd. Sucat

City: Parañanque City

Country: Philippines

Zip Code

Contact number: 09176727785

Email: tiffanyshane_yecla@gmail.com

Procedure: 08/15/21- adj 16*22UL 18niti 34 09/18/21 - adj. 34^ for removal- for resto 22/34 10/16/21 - REMOVAL OF BRACES RESTO: 17 CAOH occ/14 MO mta/13 LINGUAL DISTAL ESTHETIC 23/22 ALL INCISAL RESHAPING 10/22/21 -lingual retainer up and down wiyh vacuum retainer 3/05/22 LC 14 Mesial + CAOH/ Op 09/08/22 - OP (light) Resto #15 05/13/23- OP(L) For resto #46 06/14/25 OP mild LC #25 fiber, CaoH,ozone,xray

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Retain Record: Yes