Title: DD Form 2322, "Dental Laboratory Work Authorization" Created Date: 1/26/2023 4:47:45 PM

1. Local Case No. 2. Name of Treatment Facility, Mailing Address & DSN No. 3. ADL Case No. 4. Patient's Name (Last, First, Middle Initial) 5. Grade 6. Age 7. Date ...

2025年2月28日 · Here is a list of Forms Management POCs. If you have trouble accessing any forms, contact us at: [email protected]. Download Adobe …

LABORATORY DATA 1. Name of Dental Laboratory Date Received 2. Date Completed 3. 4. Teeth, Facings or Pontics Location Tooth Nos. Shade Guide Mold Max Ant

Use implant scan body, available from Imagine or Sirona. Include the implant type/diameter on the DD2322. The Ti-base and abutment will be cemented by the ADL. Exception: Screw-Retained …

The Area Dental Laboratory is a full service (type 1) facility located in building 3231, at Naval Station, San Diego. Our mission is to provide prosthodontic laboratory support to providers …

2023年3月11日 · DD Form 2322 is an authorization form that allows for the ordering of dental laboratory work such as crowns, bridges, dentures, implants, and more. This form also allows …

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DD Form 2322 is used to request the specific work from the dental laboratory, ensuring the correct instructions and approvals are in place. No additional documents are typically required …