Inquiries | Smart Clinic Tokyo[Official] | Regenerative Medicine (SHED-CM therapy, conditioned medium of stem cells from human exfoliated deciduous teeth (SHED-CM)) Tokyo’s Ichigaya, Yotsuya, and Kojimachi Stations

Name (full name)

Name (reading)

Gender

---ManWomanOthers

Age *We are unable to accept consultations for persons under 18.

---20s30s40s50s60s70s80s90s

Email address

Phone number

Other *Optional

How did you find out about our clinic?

---Internet search resultsAdvertising on the internetAdvertising on TV, radio, newspapers, etc.Social network (SNS)Referral from an acquaintanceUsed beforeOthers