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OCR Page 1 of 2PHONE ORANGE 1894
L. R. LIVINGSTON, D. D. S.
7 PROSPECT STREET
EAST ORANGE, N. J.
REPORT OF DENTAL EXAMINATION
June I5, I925.
-
7
8
9
10
6
II
12 13 14 15 16
1
2
3
RIGHT
LEFT
4
20 21 (251 126 28 29
17 18 19 2021023 27222 30 31 32
23
242525
COPYRIGHTED 1921
BY DRS. DAVIDSON & BARRY
PATIENT
Mr L. Herling
ADDRESS
54 High St. W. Orange.
REFERRED BY
U.S. Radium Corp.
TOOTH NO.
7.
Vitality Test, (-). Translumination, negative. xray,
negative.
8.
Vitality Test (-). . Transluminatien, negative. xray,
negative. ( Porcelain crown)
9.
Vitality Test, (-) Translumination, negative. Xray,
negative. ( Porcelain $rown )
30. Vitality Test, (J) Positive) This tooth carries a
gold crown. Xray, normal.
Dental work indicated: General prephylacsis,
DDS.
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