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Last Name
Rivera
First Name
Lorena
Middle Name
Laquindanum
Birthdate
August 14, 1974
Age
45
Street
2458 Sampaloc St.
Barangay
United hills village
City
Paranaque City
Country
PHILIPPINES
Zip Code
123
Contact number
09669710906
Procedure
10-30-2019 > PACKAGE PROMO WHITENIING + OP = 3,500 08/26/24 Bite analysis 12/27/25 Check-Up 1/10/26 3D scan Ameloplasty #15 - Mesial #16 - DB, MB #25 - DL #27 - DL #28 - DL, MB #35 - M #37 - D #38 - DL, DB #44 - MB #46 - MB 01/17/2026 shade : a2, a3 incisal build up #11-21 01/31/26 Build Up #22 #12 #23 #13 shade : A2-A1 02/14/26 Build up #15 #26
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Retain Record
Yes