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SANTIAGO-AMANCIO’S
ORTHO-DENTAL CLINIC
Dra. Marieta Santiago-Amancio
Dr. Abelardo Santiago
Dentists
Clinic Address: Clinic Hours:
109 Prenza 1, Marilao, Bulacan Mon.-Sun.
Cell. No.: 9:00-12:00AM 2:00-7:00 PM
09438252975
09322186415
Lot 1 Blk. 12 Mon.-Sat.
Europe St. Harmony Hills 1, Muzon 6:00 - 9:00 PM
San Jose Del Monte, Bulacan __Am by appointment
Parada, Sta. Maria, Bulacan Mon.-Sat.
10:00-12:00 AM _ 2:00-6:00 PM.
Date: Of
201_
‘To whom it may concern,
Thisis to cert that have attended to the dental treatment of OALAGAL BEM IT
i ee
and have rendered the following services;
feaee scaling and polishing
| Permanent restoration (FILLINGS) on the following tooth
Te fremapen es on ie
6
1s 7 (1) 15 14 13° (> m1 22 23 mm 28 G6) 27 28
R L
48 7 © Oe ean umm us 6 37
pacg Pl
[ea] Gingival/periodontal theraphy
fxtraction of tooth pumber_ “Sf +e
C=
Totnes
