Patient Info

First Name Bala Subramaniam

Last Name A

Age 36

Address

Mobile 9894214851

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 3,500

3159 Date of visit02/08/2025 C/C & Rx plans Treatments16 MO Pre endo acess and Bmp Prescription Payment3,500.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date