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Licensing details for: 47858

Name: CHANG, CHEE CHIANG

License Type: Dentist

Primary Status: Current - Active

Address of Record

1824 Avondale Dr
Suite # B
SACRAMENTO CA 95825
SACRAMENTO county
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Issuance Date

November 15, 2000

Expiration Date

June 30, 2026

Current Date / Time

June 7, 2025
6:59:4 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: CHEE C. CHANG, DDS

License/Registration Type: Additional Office Permit

License Number: 9824 Primary Status: Cancelled

Address :
1067 C STREET
STE. 125
GALT CA 95632
SACRAMENTO COUNTY

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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: CHEE CHANG DDS A PC

License/Registration Type: Additional Office Permit

License Number: 80029 Primary Status: Current - Active

Address :
9198 GREENBACK LANE #210
ORANGEVALE CA 95662
SACRAMENTO COUNTY

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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: CHEE C CHANG, DDS

License/Registration Type: Additional Office Permit

License Number: 8134 Primary Status: Cancelled

Address :
31232 HWY 44
SHINGLETOWN CA 96088
SHASTA COUNTY

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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: CHEE C. CHANG, DDS

License/Registration Type: Additional Office Permit

License Number: 9456 Primary Status: Cancelled

Address :
40 S. CALIFORNIA ST.
STOCKTON CA 95202
SAN JOAQUIN COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: GALT PLAZA DENTAL CARE, DENTAL OFFICE OF DR. CHEE CHANG, DDS

License/Registration Type: Fictitious Name Permit

License Number: 7168 Primary Status: Cancelled

Address :
1067 C STREET
STE. 125
GALT CA 95632
SACRAMENTO COUNTY

Map

FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: DENTAL GROUP OF CHEE CHANG DDS A PROFESSIONAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14501 Primary Status: Expired

Address :
4360 ARDEN WAY, STE 5
SACRAMENTO CA 95864
SACRAMENTO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: SOUTH CALIFORNIA DENTAL PRACTICE, DR CHEE C CHANG, DDS &

License/Registration Type: Fictitious Name Permit

License Number: 5769 Primary Status: Cancelled

Address :
40 S CALIFORNIA STREET
STOCKTON CA 95202
SAN JOAQUIN 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: SOUTH CALIFORNIA DENTAL PRACTICE, DR CHEE C CHANG, DDS &

License/Registration Type: Fictitious Name Permit

License Number: 5769 Primary Status: Cancelled

Address :
40 S CALIFORNIA STREET
STOCKTON CA 95202
SAN JOAQUIN 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: GALT PLAZA DENTAL CARE, DENTAL OFFICE OF DR. CHEE CHANG, DDS

License/Registration Type: Fictitious Name Permit

License Number: 7168 Primary Status: Cancelled

Address :
1067 C STREET
STE. 125
GALT CA 95632
SACRAMENTO 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: DENTAL GROUP OF CHEE CHANG DDS A PROFESSIONAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 14501 Primary Status: Expired

Address :
4360 ARDEN WAY, STE 5
SACRAMENTO CA 95864
SACRAMENTO COUNTY

Map

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: LEE, ANNIE KAY

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 594 Primary Status: Delinquent

Address Not Disclosed

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