• #1065962
  • Wilmer #WADA2012CS
Healthcare Form Healthcare Select™ Dental Claim Form 8-1/2 X 11 Inch

Features
  • Laser 2012 ADA
  • Black color/no bar code
  • More …
Color
Blue Burgundy White
Type
Dental Claim Form One Part Laser Patient Sign-In Sheet
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Product Specifications


McKesson #1065962
Manufacturer #WADA2012CS
BrandHealthcare Select™
ManufacturerWilmer
Country of OriginUnited States
ApplicationHealthcare Form
ColorWhite
Dimensions8-1/2 X 11 Inch
MaterialPaper
TypeDental Claim Form
UNSPSC Code42142304
Features
  • Laser 2012 ADA
  • Black color/no bar code