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E NUMBER CITY STATE FAX FORMS REORDER REQUEST TO: (877) 401-7534 OR MAIL TO: Denti-Cal Forms Reorder 11155 International Dr. MS C210 Rancho Cordova, CA 95670 ZIP CODE DC-202 (no carbon required) DC-209 (continuous pin-fed form) DC-217 (for laser printers) DC-206 (for TAR/Claims) DC-214A (large X-ray envelopes) DC-214B (small X-ray envelopes) TREATMENT AUTHORIZATION REQUEST (TAR)/CLAIM FORMS and Envelopes Miscellaneous Inventory DC-003 Claim Inquiry Form (CIF) DC-007 (CIFs and Corre.

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