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SIX CORNERS FAMILY DENTAL

Dr. Larry A. Fisher, DDS

sixcornersfamilydental.com

Date:

DENTAL TREATMENT PLAN


Patient Information

Name: Brenda Hepner

Date of Birth: 2025-04-25

Phone: 6303930461

Email: bigdog@gmail.com

Provider Information

Practice: Six Corners Family Dental

Dentist: Dr. Larry A. Fisher, DDS

Address: 834 West Montrose Avenue

Treatment Plan Details

Procedure Timeline Cost
X-Rays (Full Set) ($150.0) $150.00
Filling (Per Tooth) ($200.0) $200.00
Total Cost: $350.00

Additional Notes

bro get here

SIX CORNERS FAMILY DENTAL

4949 W. Irving Park Rd, Chicago, IL 60641 | (773) 782-4508

sixcornersfamilydental.com | info@sixcornersfamilydental.com

Disclaimer: Prices may vary upon further consultation. Subject to insurance approvals. Valid for 90 days from the date shown above.

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