Dental office plan table of contents



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X-RAY UNIT




















X-RAY UNIT



















X-RAY UNIT



















X-RAY UNIT



















PANELIPSE




















PROCESSER




















STERILIZER




















LASER




















LASER




















LASER




















LASER




















CURING LIGHT



















CURING LIGHT



















CURING LIGHT





















CURING LIGHT



















AIR ABRASION UNIT



















OTHER



















MISCELLANEOUS DENTAL EQUIPMENT LISTING FOR: _________________________



(Name of office)

LAST UPDATE: / /


DESCRIPTION



BRAND

MODEL NO.

SERIAL NO.

PURCHASE DATE

COST

LOCATION

LAB HANDPIECE





















LATHE

























































































































































FINANCIAL LISTING FOR: _________________________



(name of office)

LAST UPDATE: / /





NAME

ADDRESS

CONTACT

OFFICE PHONE

E-MAIL ADDRES

FAX NO.

OTHER

BANK























BANK























INVESTMENT BANKER









































































































































OTHER
























INSURANCE LISTING FOR: _________________________

(Name of office)



LAST UPDATE: / /





MALPRACTICE

PERSONAL UMBRELLA

PROPERTY INSURANCE

WORKER’S COMPENSATION

POLICY NO.















COMPANY















COMPANY ADDRESS















AGENT















AGENT PHONE















AGENT FAX















AGENT E-MAIL















POLICY LIMITS















POLICY DEDUCTIBLE















GENERAL DESCRIPTION

OF POLICY













CLAIMS ADJUSTER















DISASTER RESPONSE LOG FOR: _________________________



(Name of office)


DATE

TIME

EVENT AND DESCRIPTION OF RESPONSE

SIGNATURE










































































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