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