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1785 at any given location that inspection shall be deemed to be a Random Inspection pursuant to NAC 631. Nevada Board of Dental Examiners Page 1 of 4 6010 S. Rainbow Blvd. Bldg. A Ste. 1 Las Vegas NV 89118 702 486-7044 800 DDS-EXAM Fax 702 486-7046 INFECTION CONTROL INSPECTION/SURVEY FORM Rev 10/2016 Dental Office Name Date of Inspection Licensee Name Owner Dentist Address INSPECTOR S 1 2 City State Nevada Zip Code PURPOSE OF INSPECTION Initial Inspection Random Inspection COMPLIANCE LEVEL...
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