Partial Denture Lab Prescription - Cincinnati Dental Society
Partial Denture Lab Prescription - Cincinnati Dental Society
Partial Denture Lab Prescription - Cincinnati Dental Society
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<strong>Partial</strong> <strong>Denture</strong> <strong>Lab</strong> <strong>Prescription</strong>M. Nader Sharifi, D.D.S., M.S. Lics. No.:30 North MichiganSuite 1303Chicago, IL 60602 Phone: 312-236-1576<strong>Lab</strong>oratory:Patient:Next Appt.:Phone:Date Sent:Time:Tooth Guide Plane Rest Clasp UndercutMaterialMajor ConnectorRetention WebbingTissue StopsOpposing ArchSignature:© 2008 M. Nader Sharifi, D.D.S., M.S. Page 14