Kita Aoyama Dclinic Online consultation

online consultant questionnaire

Please fill in the questionnaire below and send.
is required item.

Go back to Home page top

Name
Sex Male Female
Address -

TEL - -
EMAIL

※please write your email address again for confirmation

Your Comment:

Kita Aoyama Dclinic

〒150-0001
3-7-10 Akera Bld Bf1
Jingumae Shibuyaku
Tokyo
地図はこちら

TEL: 03-5411-3555
FAX: 03-5411-5666

Office hours
* private practice
Mon, Tue, Thu, Fri:
9:00〜20:00
*〜20:00
Wed:
9:00〜13:00
*〜20:00
Sat:
9:00〜18:00
*〜18:00

Reservation office
Mon〜Sat: 
9:00〜19:00