Nu Form 0716

GUDID B77207160

Dental crown/bridge, temporary

Primary Device ID	B77207160
NIH Device Record Key	b288f0e1-f808-419e-8b1a-9f3538e4e8e8
Commercial Distribution Status	In Commercial Distribution
Brand Name	Nu Form
Version Model Number	Shade A2
Catalog Number	0716
Company DUNS	148149243
Company Name	NU RADIANCE INC
Device Count	1
DM Exempt	true
Pre-market Exempt	false
MRI Safety Status	Labeling does not contain MRI Safety Information
Human Cell/Tissue Product	false
Device Kit	true
Device Combination Product	false
Single Use	false
Lot Batch	true
Serial Number	false
Manufacturing Date	false
Expiration Date	true
Donation Id Number	false
Contains Natural Rubber Latex	false
Labeled No Natural Rubber Latex	false
RX Perscription	true
OTC Over-The-Counter	false

Device Issuing Agency	Device ID
HIBCC	B77207160 [Primary]

EBG	Crown And Bridge, Temporary, Resin

Steralize Prior To Use	false
Device Is Sterile	false

Mark Image Registration \| Serial	Company Trademark Application Date
NU FORM 78767434 not registered Dead/Abandoned	Nu Radiance, Inc. 2005-12-06
NU FORM 73074523 1046941 Dead/Cancelled	H. P. Hood Inc. 0000-00-00