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SIX CORNERS FAMILY DENTAL

Dr. Larry A. Fisher, DDS

sixcornersfamilydental.com

Date:

DENTAL TREATMENT PLAN


Patient Information

Name: Ashley Hidalgo

Date of Birth: 1994-03-24

Phone: 2014216298

Email: hidalgoash24@gmail.com

Provider Information

Practice: Six Corners Family Dental

Dentist: Dr. Larry A. Fisher, DDS

Address: 140 NJ-17 N #314, Paramus, NJ 07652

Treatment Plan Details

Procedure Timeline Cost
Initial Visit $175.00
Botox $680.00
Total Cost: $855.00

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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