Customer Complaint Form

We, being an ISO 13485:2016 certified company and to improve our sevices, we request you to spare your valuable time and provide suggestions by filling the below given form.


    Please let us know*
    DoctorDistributorDental TechnicianPatient


    E-mail*


    Product Name?*


    Details regarding issue faced?*


    Please send us the batch number/lot no?*


    Your Name*


    Phone Number*


    Time*


    Date*


    Severity of the event?*
    MajorMinorCommercialTechnical


    How to Contact You?*
    Whats AppE-MailTelephonic CallAny Other Then Let us know in suggestion