|^~\&Epic00001ROBINJHAH20251016142114ORMO013791DENTT2.582714292000032EPIPIDFOOTBALL CLUBBARCELONAAنادي كرة القدمبرشلونة19750101MFCBARCELONA056 405 0605PCP210004290741OP100001036DHDNT3145AMIRWALEEDHASSANPROVIDPROVID1000010363605920251016101151NW294555EPC20251016142059R294554EPC20251016142059DENTISTDENTALPROVIDER3145AMIRWALEEDHASSANPROVIDPROVID1294555EPCD17551292INVISALIGN TRAY DELIVERY AND ADJUSTMENT20251016142059202510161420591K04.3Abnormal hard tissue formation in dental pulpI10AM180;ORD
App:
Epic
Facility:
00001
Msg Time:
October 16, 2025 14:21:14
Control ID:
3791DENT
Type:
ORM_O01
Version:
HL7 v2.5
Account #
ID
2000032EPIPID, 8271429
PHN
1000429074,
Sex
M
Name
FOOTBALL CLUB,
BARCELONA A نادي كرة القدم,
برشلونة
DOB
January 1, 1975
Address
Phone
056 405 0605PCP
Admit Date
October 16, 2025 10:11:51
Location
100001036DHDNT
Account Type
OP100001036
Attending Provider
AMIR, WALEED HASSAN
License #: 3145
Diagnosis Coding Method
Diagnosis Code
K04.3Abnormal hard tissue formation in dental pulpI10AM