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Larasati Kianti Putri, drg., Sp.KGASIP : 021411131048
Jam Praktik : Senin-Jumat, pukul 08.00 – 14.00 WIBNo. Telepon : 0817373023
Alamat : Jl. Raya Gubeng No.70, Gubeng, Kota SBY, Jawa Timur 60281
Siloam Internasional Hospital
Surabaya, ...............................R/
Pro : ............................................................................Umur : ................................ BB : ...............................Alamat : ..................................................................................
Larasati Kianti Putri, drg., Sp.KGASIP : 021411131048
Jam Praktik : Senin-Jumat, pukul 08.00 – 14.00 WIBNo. Telepon : 0817373023
Alamat : Jl. Raya Gubeng No.70, Gubeng, Kota SBY, Jawa Timur 60281
Siloam International Hospital
Surabaya, .........................
R/
Pro : ............................................................................Umur : ................................ BB : ...............................Alamat : ..................................................................................