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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 -8537
Applicant Contact CHUCK WHISMAN
Correspondent
Beaverstate Dental, Inc.
19425 SW 89th Ave.
Tualatin,  OR  97062 -8537
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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