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Last Name
Molina
First Name
Camille Kieshja
Middle Name
Mariñas
Birthdate
November 1, 1959
Age
29
Street
Barangay
IP Village
City
Taguig City
Country
Philippines
Zip Code
Contact number
09985175466
Procedure
06-07-2019 > CONSULTATION = FREE 10-24-2019 > CONSULTATION > 6 TEETH FOR VEENERS = 27,000 > REMOVAL OF BRACE MAT & OP =1,500 >FREE UPPER AND LOWER VACUUM TRAY RETAINER
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Retain Record
Yes