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Last Name: Templonuevo

First Name: Jonielyn

Middle Name: Galang

Birthdate: January 1, 1982

Age: 37

Street: BLK 36 LOT 45 Central Bicutan

Barangay

City: Taguig City

Country: PHILIPPINES

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Procedure: 08-22-2019 > REMOVAL OF BRACE AND CLEANIING = 200 > PANROMIC PROVIDED 9/29/22 - OP(L); RESTO #36 #21 (D) 05/24/23- check up Implant and for RCT #11 quotation for treatment plan 12/18/24 OP LC # 24 OCCLUSAL, MESIAL (DEEP) CAOH

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Retain Record: Yes