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Ultra Low Dose CT Scanner

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  • Ultra Low Dose CT Scanner
Download PDF - CT Scanner Form

Patient Details

Date of Birth

Payment

Area of Interest CBCT only

Is the patient coming with a radiographic template?
Is the patient possibly pregnant?

(If no teeth are selected the whole jaw will be scanned)

CBCT FORMAT

CBCT OUTPUT

EXTRAS

2D IMAGING

2D OUTPUT

(If Referral)

Intra oral scanning - trios 3 colour

Clinical indications: (mandatory)

CALL US ON: 020 3199 4519

OR

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Call for a consultation today

phone

020 3199 4518

© Copyright Smile Cliniq 2022 | 020 3131 8638 | Site Last Updated: 27 July 2022

Smile Cliniq Limited. A company registered in England and Wales. Company number 08279068.

Registered office: C/O TG Associates 7 Jardine House, Harrovian Business Village, Bessborough Road, Harrow, Middlesex, HA1 3EX

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