FDA 510(k) Application Details - K111696

Device Classification Name Adhesive, Bracket And Tooth Conditioner, Resin

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510(K) Number K111696
Device Name Adhesive, Bracket And Tooth Conditioner, Resin
Applicant ULTRADENT PRODUCTS, INC.
505 WEST 10200 SOUTH
SOUTH JORDAN, UT 84095 US
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Contact DIANE ROGERS
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Regulation Number 872.3750

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Classification Product Code DYH
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Date Received 06/17/2011
Decision Date 09/07/2011
Decision SESE - SUBST EQUIV
Classification Advisory Committee DE - Dental
Review Advisory Committee DE - Dental
Statement / Summary / Purged Status Summary
Type Traditional
Reviewed By Third Party N
Expedited Review



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