FDA 510(k) Application Details - K012761

Device Classification Name Sealant, Pit And Fissure, And Conditioner

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510(K) Number K012761
Device Name Sealant, Pit And Fissure, And Conditioner
Applicant PRIME DENTAL MANUFACTURING, INC.
3735 WEST BELMONT AVE.
CHICAGO, IL 60618 US
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Contact ROLANDO MARASIGAN
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Regulation Number 872.3765

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Classification Product Code EBC
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Date Received 08/17/2001
Decision Date 11/01/2001
Decision SESE - SUBST EQUIV
Classification Advisory Committee DE - Dental
Review Advisory Committee DE - Dental
Statement / Summary / Purged Status Statement
Type Traditional
Reviewed By Third Party N
Expedited Review



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