Tokuyama America Inc.
Japanese Site
         
   
 
WE MAKE IT EASY to acquire our products. Use this form to place an online order, which we will forward to your dealer. If you have a large order, please contact us directly.
   
*Required Field
  
   
*Dentist Office:  
*Authorized Dealer:  
*Name on Account:  
*Purchasing Agent:  
*Address:  
 
*City:  
*State:  
*Zip/Postal:  
*Country:  
*Phone:  
*E-mail:  
   
Please check off any items you would like to purchase and input the product number and quantity. Please feel free to call us directly for help with your order.
   
Products Product Number
QTY
       
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
  
 

 

 

Tokuyama America Inc.
740 Garden View Ct., Suite 200
Encinitas, CA 92024
     
Toll Free:
 
1-877-ESTELIT(E)
 
1-877-378-3548
Tel:
  
(760) 942-7211
Fax:
  
(760) 942-7212
Email: