Dental Technician Sydney | MJS Dental | Dental Implants Sydney |...
1
Order Form Dentist: Practice: Date: Patient: Instructions Empress : Inlay Onlay Crown Zirconia: Crown Bridge Inlay / Onlay Implant Abutment PFM: Crown Bridge Semi-fixed Bridge Full Gold: Crown Inlay / Onlay Post Margin: Porcelain Knife-edge Fine Metal e.max®: Inlay Onlay Crown Try in Date: Time: Practice: Finish Date: Time: Practice: Important Case Notes: Martin J. Staudinger MDT Master Degree (Stuttgart, Germany) ABN 66 530 204 494 ® M J S Order Form ultra precision and aesthetics Glazed Age: Stump Shade: Shade: 32/276 New Line Road Dural, NSW, 2158 Email: [email protected] Web: www.mjsdental.com.au Mob: 0406 372 684 - Tel: (02) 9651 1800
Transcript of Dental Technician Sydney | MJS Dental | Dental Implants Sydney |...
Order Form
Dentist: Practice: Date:
Patient: Age: Shade:
Instructions
Empress : Inlay Onlay Crown
Zirconia: Crown Bridge Inlay / Onlay Implant Abutment
PFM: Crown Bridge Semi-fixed Bridge
Full Gold: Crown Inlay / Onlay Post
Margin: Porcelain Knife-edge Fine Metal
e.max®: Inlay Onlay Crown
Try in Date: Time: Practice:
Finish Date: Time: Practice:
Important Case Notes:
Martin J. StaudingerMDT
Master Degree (Stuttgart, Germany)ABN 66 530 204 494
®
ultra precision and aesthetics
M
J
S
Order Form
Dentist: Practice: Date:
Patient: Age: Shade:
Instructions
Empress : Inlay Onlay / Crown
Zircon: Crown Bridge Inlay / Onlay Implant Abutment
PFM: Crown Bridge Semi-fixed Bridge
Full Gold: Crown Inlay / Onlay Post
Margin: Porcelain Knife-edge Fine Metal
Other:
Try in Date: Time: Practice:
Finish Date: Time: Practice:
Important Case Notes:
Martin J. StaudingerMaster Dental Technician
Master Degree (Stuttgart, Germany)ABN 66 530 204 494
13 Trigalana PlaceFrenchs Forest NSW 2086
Ph: (02) 9453 2289Mob: 0406 372 684
Email: [email protected]
®
ultra precision and aesthetics
M
J
S
Order Form
Dentist: Practice: Date:
Patient: Age: Shade:
Instructions
Empress : Inlay Onlay / Crown
Zircon: Crown Bridge Inlay / Onlay Implant Abutment
PFM: Crown Bridge Semi-fixed Bridge
Full Gold: Crown Inlay / Onlay Post
Margin: Porcelain Knife-edge Fine Metal
Other:
Try in Date: Time: Practice:
Finish Date: Time: Practice:
Important Case Notes:
Martin J. StaudingerMaster Dental Technician
Master Degree (Stuttgart, Germany)ABN 66 530 204 494
13 Trigalana PlaceFrenchs Forest NSW 2086
Ph: (02) 9453 2289Mob: 0406 372 684
Email: [email protected]
®
Glazed
Age: Stump Shade: Shade:
32/276 New Line RoadDural, NSW, 2158
Email: [email protected]: www.mjsdental.com.au
Mob: 0406 372 684 - Tel: (02) 9651 1800
