Dental Technology Center

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Contact Information:
Company:	*
Contact:	*
Address:	*
City:	*
State:	* Zip: *
Email:	*
Phone:	*
Hardware Details:
Current Software Program:
Current Operating System:
Current Hardware Configurations:
# of Workstations:	Clinical: Front Desk: Office:
Known Issues with Current Hardware:
Desired Upgrades to Existing System:
Cable Type:
Do You Need Your Cables Tested?	Yes No
Do You Need a Server?	Yes No
Other Areas of Interest:
Digital X-ray Intraoral Imaging Paper-less Office Techniques Clinical Charting	Color Printing Wireless Networking Tablet Computers ALL OF THE ABOVE
Additional Comments:
Reffered By: