Iris Dental Lab — Professional Dental Laboratory in Tbilisi, Georgia

Clinic & Doctor

Clinic Name *

Doctor Name *

Date Received *

Patient

Patient Name *

Age

Gender

MF

Tooth Chart

UR

UL

LR

LL

Tap teeth to select

Clinical Parameters

Stump Color

Tooth Shade

Implant System

Diameter Ø mm

Work Parameters

Work Description

Additional Requirements

Dates

Try-in / Framework

Delivery Date *

Files

Tap to attach files (max 10, up to 50 MB)

Photos, PDF, STL, ZIP, RAR, 7Z…

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Lab Order Form