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20097 Dental Exam Record Horizontal Format 11 x 8 1/2"

Manufacturer: NEBS
Manufacturer Part No: 20097
20097 Dental Exam Record Horizontal Format
Size: 11 x 8 1/2"

Record every detail of adult and primary dentition on this horizontal 2-sided form.

  • Front features 1-32 numbering and a-t lettering, with a summary area for patient history. Back includes space for listing services and fees. Printed on sturdy ledger stock.
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$39.48 20097 Dental Exam Record Horizontal Format 11 x 8 1/2"

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