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Paciente Ortodôntico
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Nome Completo
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Cpf
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Telefone
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E-mail
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Endereço
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Forma de Pagamento
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Dinheiro
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Cartão Debito (5%) ou Credito (10%)
CONTRATO ORTODÔNTICO ODONTO CONNECTION
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Aceito
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Tipo de Aparelho
Aparelho Convencional R$ 450,00
Aparelho Auto-ligado - A partir R$ 1.150,00
Outros
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Manutenção
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Aparelho Convencional R$ 120,00
Aparelho Auto-ligado R$ 150,00
Atendimentos Especiais (Fora da Data de Manutenção) - R$ 50,00
Profissional
Susana
Mathues
Outro Profissional
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