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• IMPLANT REMOVABLE Rx • Dr. Name__________________________________________________ Phone #__________________________ Account #__________________________________ Patient Name_____________________________________ GL
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Document Date: 2015-01-16 18:02:33

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City

NEWPORT BEACH / /

Company

Biomet / MASTERCARD / Prismatik Dentalcraft Inc. / GLIDEWELL LABORATORIES / Nobel Biocare / AMEX / Astra / Dentsply / Glidewell Laboratories Keystone Dental / BALL / /

Country

Puerto Rico / United States / /

Currency

USD / /

Facility

LABORATORY USE ONLY By / Premium Hybrid Bridge / CAM Milled Bar / /

/

IndustryTerm

metal / dental devices / metal try-in / /

Person

Select / Arch Implant Prosthesis / /

/

Position

HEAD / /

Product

Tech Implant System / /

ProvinceOrState

Alaska / Maryland / Hawaii / California / /

Technology

CAD/CAM / CAD / /

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