FDA 510(k) Application Details - K120109

Device Classification Name Varnish, Cavity

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510(K) Number K120109
Device Name Varnish, Cavity
Applicant PHOENIX DENTAL, INC.
3452 WEST THOMPSON RD.
FENTON, MI 48430 US
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Contact JEFFREY S COX
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Regulation Number 872.3260

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Classification Product Code LBH
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Date Received 01/13/2012
Decision Date 03/07/2012
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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