Contact Us
お問い合わせ

Inquiry Form
お問い合わせフォーム
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Regarding an inquiry about our price, please ask for a pricelist in the form.
We also provide consultation on materials and cases. So please feel free to contact us.
If you need immdiate assistance, please contact us by phone.

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Your information
Clinic name 
Name (First, Last)
Kana (Japanese syllabary)
Country
Postal code
 
Address 

Phone number 
Email 
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Inquiry