Item# WADA2006CS ADA 2006 Dental Claim Form - Laser

Item# WADA2006CS

ADA 2006 Dental Claim Form - Laser

New Format: One Part Laser Claim Form with space for NPI code, 8 1/2" W x 11" H, black ink on white paper, 2500 per carton

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