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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Material, Tooth Shade, Resin
510(k) Number K022675
Device Name PRIME-DENT AUTOMIX DUAL CURE CORE BUILD UP MATERIAL
Applicant
Prime Dental Manufacturing, Inc.
3735 W. Belmont Ave.
Chicago,  IL  60618
Applicant Contact ROLANDO MARASIGAN
Correspondent
Prime Dental Manufacturing, Inc.
3735 W. Belmont Ave.
Chicago,  IL  60618
Correspondent Contact ROLANDO MARASIGAN
Regulation Number872.3690
Classification Product Code
EBF  
Date Received08/12/2002
Decision Date 11/07/2002
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Dental
510k Review Panel Dental
Statement Statement
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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