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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Mirror, Mouth
510(k) Number K863767
Device Name GLASS MOUTH MIRRORS, REUSABLE
Applicant
The Medical Group, Inc.
4600 Kietzke Ln. L235
Reno,  NV  89502
Applicant Contact CHUCK SMITHSON
Correspondent
The Medical Group, Inc.
4600 Kietzke Ln. L235
Reno,  NV  89502
Correspondent Contact CHUCK SMITHSON
Regulation Number872.4565
Classification Product Code
EAX  
Date Received09/25/1986
Decision Date 10/30/1986
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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