📄 Extracted Text (136 words)
FEB-13-2003 10:35 FRal:DR.VAGNANI 2123979008 TO:16467067223 P.1'3
HISTORICAL STATEMENT
11/6/2013 to 2/12/2014 (Svetleane)
Thomas J. Megnanl D.D.S.
Alvin Grayson D.D.S.
7 West 61st Street
F litryv-‘, Telephone: (212) 668-1090
7th Floor
New York NY 10010
Mr. Jeff Epstein GM Account
301 East 66th Street [ 2/12/2014 9293
Apt 3 10F
New York NY 10066
Cate Patient Desalption Charges Credits Balance
11/812013 Svetleana Recall Oral Exam 40.00 40.00
11/8(2013 Svetleane Adult Scale I Prophy 180.00 220.00
11/8/2013 Svetleana Bite Wings 4 Films 65.00 286.00
11/7/2013 Svetleana Amalgam 2 Surface Perm. 376.00 030.00
Account Total 660.00
Patient Chain 600.00
Patient Payments 0.00
Patient Credits 0.00
Patient Debits 0.00
Current I 30 Days 00 Dun 90 Clays 120« Days
moils J. lAsoneni D.D.S. ANN Ofirpon D.D.S. 7 West Mil SI MI in Floor NOW Yolk NV 1001$ (212) Gamow
EFTA00593717
ℹ️ Document Details
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b34e2377e62d1f4baf0b05f590c8760c763cf5ac4cb71185dc36ad0b3decbca3
Bates Number
EFTA00593717
Dataset
DataSet-9
Document Type
document
Pages
1
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