Lab Pronto

Orthodontics / Retainers / Digital Lingual Retainer Design

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Retainers

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Service Details

ORDER INFORMATION

Number of Arches

Patient Name or Identifier*

Treatment Name*

Essix Retainer Arch *

Print Study Model *

Expedited Turnaround (2 Business Day)? *

Additional information for Lab

This service includes design and fabrication of Essix retainer

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Total Order :

$ 85.00

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First Name

Last Name

Alternate Email

Mobile No

Address

City

State

Postal Code

Country

Card Holder Name

Card Holder Name is Required. Card Holder Name Contain Atleast 6 Characters. Card Holder Name contain maximum 70 characters No special characters allowed

Card Number

Card Number is Required. Card Number only contain numeric values. Only Numeric allowed

Card Expiry Date

Expiry month is Required.

Expiry Year is Required.

CVV

CVV is Required. CVV is invalid Only Numeric allowed

Retainers

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ORDER INFORMATION

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Service Details

Patient Details

Fill Primary Contacts

Fill Shipping Address

Card Details