Highlights
View Details- Binding type: Loose
- Number of parts: 1
- Paper color: White
Medical Arts Press Dental Treatment Notes, Tooth Chart, 250/Pack (20601RL)
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Dental exam chart format. Detailed form illustrated with anatomical tooth graphics for permanent and deciduous teeth. Columns for date, tooth number, surface, ADA code, fee
- Binding type: Loose
- Number of parts: 1
- Paper color: White
- Printed same on both sides, hole punching options available
- 24 lbs. ledger stock paper
- Columns for date, tooth number, surface, ADA code, fee and more
- Printed same on both sides
- 250 forms per pack
- Size: 8-1/2 x 11"
| Manufacturer # | 20601RL |
| Brand Name | Medical Arts Press |
| Form Size | 8 1/2" x 11" |
| Length in Inches | 11 |
| Medical Form Pack Size | 250 |
| Medical Form Type | Dental Claims |
| Print Type | Continuous |
| True Color | White |
| Width in Inches | 8.5 |
Details
Dental exam chart format. Detailed form illustrated with anatomical tooth graphics for permanent and deciduous teeth. Columns for date, tooth number, surface, ADA code, fee
- Binding type: Loose
- Number of parts: 1
- Paper color: White
- Printed same on both sides, hole punching options available
- 24 lbs. ledger stock paper
- Columns for date, tooth number, surface, ADA code, fee and more
- Printed same on both sides
- 250 forms per pack
- Size: 8-1/2 x 11"
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