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    Order Form and Price Details

    Uploaded by

    Krishna Sankar
    This document is an order form listing dental supplies and their prices. It includes descriptions of various dental tools like probes, mirrors, burs, and composites along with their individual prices. There are also listings for endodontic tools, temporary fillings, rubber dam materials, and x-ray supplies. The form includes spaces for the customer's name, address, date of order, and phone number.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Order Form and Price Details

    Uploaded by

    Krishna Sankar
    33 views3 pages
    This document is an order form listing dental supplies and their prices. It includes descriptions of various dental tools like probes, mirrors, burs, and composites along with their individual prices. There are also listings for endodontic tools, temporary fillings, rubber dam materials, and x-ray supplies. The form includes spaces for the customer's name, address, date of order, and phone number.

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    This document is an order form listing dental supplies and their prices. It includes descriptions of various dental tools like probes, mirrors, burs, and composites along with their individual prices. There are also listings for endodontic tools, temporary fillings, rubber dam materials, and x-ray supplies. The form includes spaces for the customer's name, address, date of order, and phone number.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    33 views3 pages

    Order Form and Price Details

    Uploaded by

    Krishna Sankar
    This document is an order form listing dental supplies and their prices. It includes descriptions of various dental tools like probes, mirrors, burs, and composites along with their individual prices. There are also listings for endodontic tools, temporary fillings, rubber dam materials, and x-ray supplies. The form includes spaces for the customer's name, address, date of order, and phone number.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    ORDER FORM

    DESCRIPTION QTY UNIT PRICE DESCRIPTION QTY UNIT PRICE


    PRIC PRIC
    E E
    Tooth 18 $6 Mouth Mirror $15
    Tooth 17 $6 Tweezer $15
    Tooth 16 $6 Perio Probe $26
    Tooth 15 $6 Endo Probe $15
    Tooth 14 $6 Explorer $15
    Tooth 13 $6 Spoon Excavator $15
    Tooth 12 $6 Flat Plastic $15
    Tooth 11 $6 Small Condenser $15
    Tooth 21 $6 Large Condenser $15
    Tooth 22 $6 Ball burnisher $15
    Tooth 23 $6 Amalgam Carrier $20
    Tooth 24 $6 Hollenback Carver $15
    Tooth 25 $6 GMT 28 & 29 $15
    Tooth 26 $6 Caliper $15
    Tooth 27 $6 Tofflemire Retainer $25
    Tooth 28 $6 Bur holder $15
    Tooth 38 $6 Matrix Bands set (12 $3
    bands)
    Tooth 37 $6 Abrasive Strips 4mm $4
    Tooth 36 $6 Abrasive Strips 6mm $4
    Tooth 35 $6 Superbuf $2.5
    Tooth 34 $6 Polishing Brush Cup $5
    Tooth 33 $6 Polishing Brush Point $5
    Tooth 32 $6 Wooden wedges Wide $0.5
    Tooth 31 $6 Wooden wedges $0.4
    Narrow
    Tooth 41 $6 Finishing Point $4
    Tooth 42 $6 Finishing Cup $4
    Tooth 43 $6 Amalgam capsule Spill $1.5
    1
    Tooth 44 $6 Amalgam capsule Spill $2.5
    2
    Tooth 45 $6 Amalgam capsule Spill $3.5
    3
    Tooth 46 $6 Kerr contour Spill 2 $4
    Tooth 47 $6 Ivoclar Packable $35
    Composite
    Tooth 48 $6 Ivoclar Flowable $25
    Composite
    ENDO Tooth 16 $35
    ENDO Tooth 26 $35
    CARIES Tooth 12 $18 Temp gun $60

    NAME DATE
    ADDRESS PHONE NO.
    CARIES Tooth 46 $18 Temp gun tip $0.5
    Prepared tooth endo $40
    Prepared tooth $30 Rubber dam Sheet $0.9
    -Regular
    Screws $1 Rubber dam sheet - $4.5
    Non-latex

    DESCRIPTION QTY UNI PRI DESCRIPTION QT UNIT PRIC


    T CE Y PRIC E
    PRI E
    CE
    Fender Wedge Yellow $2 CAVITY
    $2 0.8mm round bur $5
    Orange
    $2 0.8mm cyl bur $5
    Green
    $2 Yellow pear shape $5
    Purple

    Celluloid strip box $20 ENDO


    Polishing strips 2.5 mm $0. Long shank $14
    3
    Polishing strips 4 mm $0. Endo bur $18
    3
    Polishing discs white $0.
    5
    $0. Yellow torpedo bur $6
    Yellow 5
    Lt. $0. Yellow tapered round $5
    green 5
    Dark $0. Yellow tapered flat $5
    green 5
    Soflex Discs Coarse $1 Yellow band round bur $5
    Medium $1 0.5mm carbide bur $6
    Fine $1 0.6mm carbide bur $6
    Superfine $1 0.9mm carbide bur $6

    PFM Bur Kit $42 Converter $15


    FGC bur kit $25 Mandrel (Soflex/super $7
    buf)
    Cavity bur kit $20
    Endo bur kit $32 X Ray Film Size 1 $1.5
    X Ray Film Size 2 $1
    FGC
    1mm round bur $5 Slow hand piece $25
    Chamfer bur $5 Motor $25
    Interprox bur $5 Fast hand piece w/o led $40
    Red chamfer $5 Fast hand piece with $75
    led
    Red interprox $5
    NAME DATE
    ADDRESS PHONE NO.
    Tapered Red diatech $11 Blue wax 1 strip $1
    round end

    PFM
    1mm shoulder $5
    Interprox bur $5
    Diatech blue band $11
    Interprox bur
    Yellow shoulder $5
    Yellow football $5
    1.2mmcylindrical $11
    diatech
    Tapered red diatech $11

    NAME DATE
    ADDRESS PHONE NO.

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