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Dents PL 0511

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5100 E.

Skelly Dr, Suite 300


Smiles Dental / Optima Reorder Form
Tulsa, OK 74135
1-800-662-1202 Office Location Col
umbi
a Smi
les
www.dentsplysirona.com Ordering Person Andrew Perez

Rep Contact: Order Total:


186.6

WaveOne® Gold Reciprocating Shaping Files GuttaCore® for WaveOne® Gold


Qty Small - 20/.07 variable taper Total Qty Blister of 5x Obturators Total
3x 21mm WGSMALL21 $57.20 5x Small TNSGCWG500SML $46.18
3x 25mm WGSMALL25 $57.20 5x Primary TNSGCWG500PRI $46.18
3x 31mm WGSMALL31 $57.20 5x Medium TNSGCWG500MED $46.18
5x Large TNSGCWG500LG $46.18
Primary - 25/.07 variable taper (includes 1 size verifier)
3x 21mm WGPRIME21 $57.20 Box of 25x Obturators (5x blister packs)
2 3x 25mm WGPRIME25 $57.20 114.4 25x Small TNSGCWGC00SML $217.31
1 3x 31mm WGPRIME31 $57.20 57.20 25x Primary TNSGCWGC00PRI $217.31
25x Medium TNSGCWGC00MED $217.31
Medium-35/.06 variable taper 25x Large TNSGCWGC00LG $217.31
3x 21mm WGMEDIUM21 $57.20
3x 25mm WGMEDIUM25 $57.20 WaveOne® Gold Gutta-Percha Points
3x 31mm WGMEDIUM31 $57.20 Qty Box of 60 Gutta-Percha Points Total
Small WGGPCS $17.50
Large - 45/.05 variable taper Primary WGGPCP $17.50
3x 21mm WGLARGE21 $57.20 Medium WGGPCM $17.50
3x 25mm WGLARGE25 $57.20 Large WGGPCL $17.50
3x 31mm WGLARGE31 $57.20

WaveOne® Gold Reciprocating Glide Path Files WaveOne® Gold Absorbent Points
Qty Glider - 15, .02 variable taper Total Qty Box of 180x Sterile Absorbent Points Total
3x 21mm TSTW1GG321015 $49.04 Small WGAPSS $13.93
3x 25mm TSTW1GG325015 $49.04 Primary WGAPSP $13.93
3x 31mm TSTW1GG331015 $49.07 Medium WGAPSM $13.93
Large WGAPSL $13.93
Endo Access - Pulp Shaper Bur AH Plus Bioceramic Sealer
Qty Total Qty Total
1 EAPSB $32.69 Starter kit AHPBIOSEAL $103.88
Syringe refill AHPBIOREFILL $85.33
EndoActivator® Refills & Accessories Cannula refill (20) AHPBIOCANNULA $25.97
Qty EndoActivator® Refills Total
25x Small EAYW22 $52.00 ProLube® Root Canal Conditioner
25x Medium EARD22 $52.00 Qty Total
25x Large EABL22 $52.00 35x PROLUBE $53.69
100x Barriers EAPB100 $52.00 100x PROLUBE100 $114.39

ProTaper Univeral Retreatment File Assorted Shipping


Qty Assorted .07V-.09V Total x 2nd Day Air PM $15.00 15
3x Asst PTURTDAST $57.20 Next Day Air $30.00

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