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Medical Arts Press® 2000 Dental Claim Form; 2-Part Pin-Feed, Open Body Form

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Item # 174-29413

$86.99
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Description Specifications

Latest ADA approved form with spaces for 4-digit years, diagnosis code index and numerical tooth chart. 2-part carbonless pin-feed form with open body for easy print alignment. 1,500 per package. Size: 9-1/2x11" overall; 8-1/2x11" detached.

Product Information: Form Type :

Insurance; Format :

Dental Claim Form; Sheet Size :

9-1/2" x 11"; Form Size :

8-1/2" x 11"; Media Quantity :

1500; Binding Type :

Continuous; Paper Color :

White; Number of Parts :

2; Carbonless :

Yes; # Up Per Sheet/Page :

1; NCR Paper :

No; Numbered :

No; Holes Punched :

None; Personalization :

No; Security Features :

No
Miscellaneous: Brand Name :

Medical Arts Press; Country of Origin :

USA
Weight: Weight :

27.50 lbs. per Box