China

Hand carved from tagua nut or fruit ivory depending on where it is from. From Wikipedia:

"Tagua nut is a product made from a very hard white endosperm of the seeds of certain palm trees. Vegetable ivory is named for its resemblance to animal ivory. The seeds of the Caroline ivory-nut palm from the Caroline Islands, natangura palm from the Solomon Islands and Vanuatu, and the real fan palm, from Sub-Saharan Africa, are also used to produce vegetable ivory. A tagua palm can take up to 15 years to mature, but once it gets to this stage it can go on producing vegetable ivory for up to 100 years. In any given year a tagua palm can produce up to 20 pounds of vegetable ivory."

(L09.B137.R001.)