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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 22, I925.
) .....
8
9
10
II 16
1
2
LEFT
RIGHT
4
29
20
21
OF
17 18 19 31 32
,1114
COPYRIGHTED 1921
BY DRS. DAVIDSON & BARRY
PATIENT.
Mr J. T. Morris
ADDRESS
I45 Watchung Ave, W.O.
REFERRED BY
U.S. Radium Corp.
TOOTH NO.
I8. Vitality Test, (-). . Translumination, negative. Root
canal, not filled. Xray shows small radielucent area
at apex.
I9. Vitality Test, (-). Translumination, negative. Root
canal, not filled. Xray shows small radiolucent area
at apex.
The remaining teeth are vital.
Dental work indicated: Cavities to be filled in teeth
No I2, 13, 18, I9. General prophylacsis.
XDS
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