FDA 510(k) Application Details - K203000

Device Classification Name Mouthguard, Prescription

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510(K) Number K203000
Device Name Mouthguard, Prescription
Applicant Mycone Dental Supply Co. Inc. (DBA Keystone Industries)
480 S. Democrat Road
Gibbstown, NJ 08027 US
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Contact Diamond Bynum
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Regulation Number 000.0000

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Classification Product Code MQC
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Date Received 10/01/2020
Decision Date 04/09/2021
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



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