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Dental Exam Record, Horizontal Format

Item#: Size:
Quantity 250 500 1000 2000 3000
20097  Not Imprinted $89.99 $167.99 $281.99 $488.99 $693.99
We recommend this quantity.
1.  Quantity

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.