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The above form is for dental practices requesting manual scheduling or billing instead of ONLINE . Please remit completed form with payment to scheduling@showall32.com .
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Tooth Replacement Sequence:
1. Implant 2. Abutment 3. Crown
*Site Preparation (not shown):
*bone graft│*growth factors│*membrane
*Site Preparation is based on clinical necessity to support optimal outcomes, determined by the specific requirements of each surgical site. Addtional fees may apply.
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