Item# WADA20061 ADA 2006 Dental Claim Form - One Part Continuous

Item# WADA20061  ADA 2006 Dental Claim Form – One Part Continuous

Item# WADA20061

ADA 2006 Dental Claim Form - One Part Continuous

New Format: One Part Continuous Claim Form with space for NPI code, 9 1/2" W x 11" H (including pin feed), black ink on white paper, 2,500 per carton.

National Provider Identifier (NPI) codes now required. Save time by pre-imprinting the doctor's name and NPI number on the forms.

 

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