FDA 510(k) Application Details - K112517

Device Classification Name Sealant, Pit And Fissure, And Conditioner

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510(K) Number K112517
Device Name Sealant, Pit And Fissure, And Conditioner
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 872.3765

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Classification Product Code EBC
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Date Received 08/31/2011
Decision Date 09/23/2011
Decision SESE - SUBST EQUIV
Classification Advisory Committee DE - Dental
Review Advisory Committee DE - Dental
Statement / Summary / Purged Status Summary
Type Special
Reviewed By Third Party N
Expedited Review



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