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Medical Record, June 15, 1925

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PHONE 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 11 12 13 14 15 16 RIGHT LEFT 4 20 21 22 (24) [251 (26) (77) 28 29 17 18 19 202102223 242526 272829 30 31 32 COPYRIGHTED 192t BY DRS. DAVIDSON & BARRY PATIENT Mise D. Tallet ADDRESS 275 High St, Orange. TOOTH NO. REFERRED BY U.S. Radium Corp. 3. Vitality Test, (-). Translumination, negative. Xray shows roots only. Crown is broken off. I4. Vitality Test, (-). Translumination, negatine. Xray shows roots only. Crown is broken off. 30. Vitality Test, (-). Translumination, negative. Xray shows roots only. Crown is broken off. The remaining teeth are vital. Dental work indicated: Extract No 3, I4, 30. Cavites filled in No 2, 5, 8, I5,31, 20. General prophylacsis.

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