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U.S. Department of Health and Human Services

510(k) Premarket Notification

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Device Classification Name Varnish, Cavity
510(k) Number K141422
Device Name PROFLUORO FLUORIDE VARNISH
Applicant
Pac-Dent International, Inc.
21038 Commerce Pt.e Dr.
Walnut,  CA  91789
Applicant Contact WENYING ZHU
Correspondent
Pac-Dent International, Inc.
21038 Commerce Pt.e Dr.
Walnut,  CA  91789
Correspondent Contact WENYING ZHU
Regulation Number872.3260
Classification Product Code
LBH  
Date Received05/30/2014
Decision Date 09/30/2014
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty Dental
510k Review Panel Dental
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized
No
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