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DIGITAL ORDER FORM (RX)
TRINITY DENTAL LAB - WORK ORDER
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1. DENTAL CLINIC - DOCTOR NAME
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2. MAILING ADDRESS - PHONE NUMBER
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3. EMAIL ADDRESS
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4. PATIENT NAME - IDENTIFIER
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5. PRODUCT
1. SURGICAL GUIDE
2. CUSTOM ABUTMENT & CROWN
3. TI-BASE ABUTMENT CROWN
4. ZIRCONIA CROWN - PORCELAIN LAYERED
5. TITANIUM ABUTMENT
6. FULL DENTURE
7.PARTIAL DENTURE
8. OCCLUSAL SPLINT / NIGHTGUARD / SPORTSGUARD
9. GINGIVAL REDUCTION GUIDE
10. BONE AUGMENTATION GUIDE
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6. IMPLANT SYSTEM / SURGICAL GUIDE KIT/ SCAN BODY INFORMATION
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7. TOOTH POSITION SITE
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8. JOB DESCRIPTION
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9
. DATA UPLOAD
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