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CHS 10-136 School of Dentistry Los Angeles CA 90095 You may also fax the completed form to 310 825-7620. Please make your check payable to The Regents of the University of California. You may also make a credit card payment over the phone. Please note that only digital radiographs can be e-mailed. Radiographs taken prior to the implementation of digital radiography cannot be e-mailed. Please also note that most popular email services ex. Ucla.edu The revocation will take effect upon receipt...
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