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Licensing details for: 30318

Name: CHANG, SZU-TSUNG

License Type: Dentist

Primary Status: Current - Active

Address of Record

9804 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO county
Map

Issuance Date

May 7, 1982

Expiration Date

October 31, 2026

Current Date / Time

December 13, 2025
9:42:41 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: SZU-TSUNG CHANG, DDS

License/Registration Type: Additional Office Permit

License Number: 9630 Primary Status: Cancelled

Address :
5394 WALNUT AVE.
STE. J
IRVINE CA 92604
ORANGE COUNTY

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FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: 1ST DENTAL GROUP OF SZU-TSUNG CHANG, DDS

License/Registration Type: Fictitious Name Permit

License Number: 7595 Primary Status: Cancelled

Address :
5394 WALNUT AVE.
STE. J
IRVINE CA 92604
ORANGE COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: FIRST DENTAL GROUP - DR SZU-TSUNG CHANG

License/Registration Type: Fictitious Name Permit

License Number: 1823 Primary Status: Current - Active

Address :
9804 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY

Map

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