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PROPHYLAXIS & PHOTOGRAPHY
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PATIENT DISMISSAL, CLAIMS RELEASE
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PROPHYLAXIS & PHOTOGRAPHY
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Prophylaxis & Photography:
Consent for Perio Prophylaxis
$10.00
Informed Consent for Perio Prophylaxis
Consent for Photography
$10.00
Informed Consent for Photography
Cone Beam CT Scan
$10.00
Informed Consent for Cone Beam CT Scan.
