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GP
PERIO
PEDO
ENDO
ORTHO
OMFS
HYG
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PACK DESIGN
2x2 Sponges
-
1
2
3
4
5
6
7
8
9
10
Cotton Filled
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1
2
3
4
5
6
7
8
9
10
Non-Woven
Cotton Rolls
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1
2
3
4
5
6
7
8
9
10
Saliva Ejector
White
Clear
HVE Tip
Cotton Tip Applicator
-
1
2
3
4
5
6” Applicators
-
1
2
3
4
5
3” Applicators
A/W Syringe Tip
Safe Tip
Sani Tip
Pro-Tip
Tip Cover
Barrier Sleeve
X-Ray
Syringe
Tray
Chair
Barrier Film
Clear
Blue
T-Style
Patient Bib
Blue
Mauve
Beige
White
Headrest Cover
Paper
Plastic
Mask
Blue Earloop
Pink Earloop
Blue Cone
Fluoride Tray
Yellow
White
Blue
Prophy Angle
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Special Requests
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Note:
Please provide as much information as possible to ensure accuracy. This form serves as a guide to help you customize a pack that best meets your needs. Thank you for your interest in our product.
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Copyright 2006 Barrier Technologies Inc. Davie, Florida 33317 • tel (800) 353-4350 • fax (800) 353-4351
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OUR COMPANY
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