Provider: Tsai & Snowden Professional Dental Corp / Dr. Jae Woo Chung / 6005 Arlington Ave Riverside CA 92504 / 951-352-8318 / Patient ID 31854 / Date: 07/14/26 | SEQ 1 - Tooth 18: Endosteal implant placement + PFM crown w/custom abutment | SEQ 2 - Tooth 19: Endosteal implant placement + PFM crown w/custom abutment | SEQ 3 - Tooth 28: Endosteal implant placement + PFM crown w/custom abutment | SEQ 4 - Tooth 29: Surgical extraction (mucoperiosteal flap / bone removal) + bone ridge preservation/stabilization | SEQ 5 - Tooth 29: Endosteal implant placement + PFM crown w/custom abutment | NOTE: Prophylactic antibiotic required before each surgical appt (artificial hip protocol)