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Contact information
Address

2161 N Sedge Lane | Liberty Lake, WA 99019

Email

paulnski@ascendrxbilling.com

Phone

509-535-1237

ADA DENTAL FORMS   Back to Products

Our forms are designed for processing on high-speed OCR scanning equipment and are printed in red "dropout" ink on special bond paper in strict compliance with government printing specifications.

Forms/ADA-Dental/Laser-Inkjet
Product Number in the Box Price Add to Cart
ADA Dental Claim Form - 1-Part - Laser/InkJet (single sheet) 2000 Edition 2500 ONLY: $48.00 compare @ $107.99
ADA Dental Claim Form - 1-Part - Laser/InkJet (single sheet) 2000 Edition 5000 ONLY: $94.00 compare @ $215.99