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TAKAMOTO DENTAL CLINIC
FORM FOR QUESTION ABOUT TEETH

IF YOU HAVE ANY WORRY OR QUESTIONS ABOUT YOUR TEETH,
PLEASE FEEL FREE TO EMAIL ME TO SOLVE YOUR PROBLEM.
PLEASE COMPLETE THE FORM@BELOW AS DETAILED AS POSSIBLE.
THEN CLICK THE BUTTON UNDER THE FORM.
THE DR WOULD EMAIL YOU BACK TO ANSWER THE QUESTION AFTER YOUR EMAIL IS CHECKED
Name
Email
Emailicomfirmj
Sex Male @@ Female
Age under nine years of age@ ten and over@
twenties@ thirties forties@
fifties@@ sixties@ seventy and over
Qestion

@Check if you want get conformation by email.

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Any question available by email click here!
Available 7days, 24hours! If you have any worry or question about the teeth,
please feel free to email me to ask your question.


TEL ’¼Ú涂Ƙb‚·
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0120-63-8148
045-585-1110
10F00`12F00
15F00`19F00

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Emergency Call:
0120-63-8148
045-585-1110
10:00`12:00
15:00`19:00

(We are closed on Saturday and Sunday Evening & whole Tuesday and Thursday)
In any case you are in emergency, for instance, kid fell down and broke his/her teeth, please feel free to call me.


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