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Please fill out the following form to request lab bags and prescription pads Doctor's Name: Email Address: Phone Number:  Street Address: City:       State:   Zip Code:   Contact Us: Phone: (201) 343-4626 Fax: (201) 343-1480 Samuel Fields Dental Laboratories, Inc. 197 Union Street Hackensack, NJ 07601 USA Email Us: shflab197@aol.com © Copyright 2010.  All Rights Reserved.