Patient Info

First Name Mohamed imthiaz

Last Name N/a

Age 32

Address

Mobile 9629673732

Phone

e mail

Treatment

Medical History

Dental History

Details

Date of visit

Total [Payments]: 1,400

3346 Date of visit07/01/2026 C/C & Rx plans Treatments14- MO class 2 composite filling Prescription Payment1,400.00 Balance Follow up date Lab

Pictures

Images

0No Images

Appointment Details

Time

Appointment Date