FDA 510(k) Application Details - K091880

Device Classification Name Mouthguard, Prescription

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510(K) Number K091880
Device Name Mouthguard, Prescription
Applicant ASCENTIA HEALTH INCORPORATED
8473 RIPPLED CREEK COURT
SPRINGFIELD, VA 22153 US
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Contact ROGER WIXTROM
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Regulation Number 000.0000

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Classification Product Code MQC
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Date Received 06/24/2009
Decision Date 02/24/2010
Decision SESE - SUBST EQUIV
Classification Advisory Committee -
Review Advisory Committee DE - Dental
Statement / Summary / Purged Status Summary
Type Traditional
Reviewed By Third Party N
Expedited Review

FDA Source Information for K091880


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