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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.
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RIGHT
LEFT
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(21) [23 24 [251 (26) (77) (28 29
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COPYRIGHTED 1921
BY DRS. DAVIDSON & BARRY
Miss A. Laird
223 Watchung Ave, W. Orange
PATIENT
ADDRESS
U.S. Radium Corp.
REFERRED BY
TOOTH NO.
I9. Vitality Test, negative. Translumination, negative. Rost
canals not filled, Xray shows radiolucent area at apex.
The remaining teeth are vital.
Dental work indicated: Cavities to be filled in No 3, I9,
I.4, 20,
The extraction of tooth No I9 is to considered together
with the clinical findings of the Patient.
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