NYCDRS Doctors Preference Survey

Please indicate your Professional Preferences so that we can align our Services to your Requirements.

Doctor's Name

License #

Phone #

Porcelain Butt

No Metal to Show

360 No Metal

360 Metal Hairline

Any Other Comments, including # mm for Metal Hairline Collar?

Removal Button

Bevel

Shoulder

Chamfer

Any Other Comments?

Sanitary

Full Ridge

Modified

Bullet

Any Other Comments?

High Noble

Noble

Non Precious

Any Other Comments?

High Noble for Inlay/Onlay

High Noble for FCC/Post

Any Other Comments?