MASQUE MANUFACTURED BY HARRY J. BOSWORTH CO.

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Request for Information Form	Contact Information
Company Name	HARRY J. BOSWORTH CO.
Address	7227 NORTH HAMLIN AVE.
City, State, Zip	SKOKIE, IL 60076
Country	US
FDA Owner/Operator Phone	847-679-3400
FDA Medical Specialty Code	DE - Dental
FDA Product Code	EFX
FDA Classification Name	PROTECTOR, SILICATE
FDA Device Classification Code	General Controls
FDA Regulation Number	872.6670
FDA Common Generic Name	SILICATE PROTECTOR
FDA Proprietary Device Name	MASQUE
FDA Owner / Operator Number	1410638
FDA Owner / Operator Name	HARRY J. BOSWORTH CO.
FDA Establishment Registration Number	1410638
FDA Registered Establishment Name	HARRY J. BOSWORTH CO.
FDA Operation Code(s)	RR - Repackager/Relabeller
FDA Listing Date	08-18-92
FDA Listing Status Code	Active
Differentiation	N/A
Keywords	N/A
Description	N/A
Brochure	N/A
Product Website	N/A

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1	STICK TECH LTD. LEMMINKAISENKATU 46 TURKU, FI-20520 FI 358-2-4808 2552 / 358-2-4808 2500	STICK REFIXIN	MATRICE