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Periodontal Chisel Ochsenbein #4	$62.27	Periodontal Chisel Ochsenbein #4 quantity	$62.27	×
Anterior Scalette N137M (Implant Maintenance) - ImplaMate® - DuraLite® ColorRings	$75.20	Anterior Scalette N137M (Implant Maintenance) - ImplaMate® - DuraLite® ColorRings quantity	$75.20	×
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Subtotal	$137.47
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