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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Light, Fiber Optic, Dental
510(k) Number K953192
Device Name MODEL A15-103
Applicant
Beaverstate Dental, Inc.
19425 SW 89th Ave.
Tualatin,  OR  97062
Applicant Contact CHUCK WHISMAN
Correspondent
Beaverstate Dental, Inc.
19425 SW 89th Ave.
Tualatin,  OR  97062
Correspondent Contact CHUCK WHISMAN
Regulation Number872.4620
Classification Product Code
EAY  
Date Received06/23/1995
Decision Date 09/05/1995
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Dental
510k Review Panel Dental
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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