ad & Nock / Soft natio: D: apt I F: ltd Classiftcatiom CL, Pain Scale: Scale: /10 Dental Prostheses; at Intake: Yes Type. le ) Age: on ?l ir r MI 42 Russ, C--• Ztt W - i /L5 /Ilea on Di:. SWI2- Ace) or Car-011/15 Cili'Sdute4 Intra-cral Photos Taken: Yes 0 Radlog:aphs Taken: (Document