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Dental Exam Record, Horizontal Format

Item#: Size:
Quantity 250 500 1000 2000 3000
20097  Not Imprinted $106.99 $199.99 $334.99 $580.99 $824.99
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Product Benefits and Features

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

  • Accurate charting and notes! 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.