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CBI Dental Prosthetics - Company - Weymouth, MA RX.pdf · SHADING CHART DATE DOCTOR'S NAME DOCTOR'S ADDRESS PATIENT'S NAME TEETH NUMBERS: 123456 32 31 30 29 28 ALLOY: [2 High Noble

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Page 1: CBI Dental Prosthetics - Company - Weymouth, MA RX.pdf · SHADING CHART DATE DOCTOR'S NAME DOCTOR'S ADDRESS PATIENT'S NAME TEETH NUMBERS: 123456 32 31 30 29 28 ALLOY: [2 High Noble

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