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2308 McDonald Avenue, Brooklyn, NY 11223
(718) 375-5999 • Fax (718) 375-5983 www.elegantlab.com
Enclosed with Case: ImpressionsModelsBiteOther
TitaniumGold-Colored TitaniumZirconia w/ Ti-baseGold Alloy
CrownSplinted CrownsBridge
Solid ZirconiaSix Layer ZirconiaYellow GoldSolid Zirconia with Buccal PorcelainEmax LayeredNon PreciousSemi Precious
Solid ZirconiaEmax Full ContourSix Layer ZirconiaPMMAEmax LayeredChrome Cobalt
Type 1
Type 2
Type 3
Type 4
Type 5
Call DoctorSpot OpposingMetal OcclusionMetal IslandMake this a permanent note in my master file
NoYes (include which abutments will have restoratons splinted together for insertion)
Facial
Lingual
Mesial
Distal
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