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Licensing details for: 61992

Name: ZHU, CHENG

License Type: Dentist

Primary Status: Current - Active

Address of Record

1894 Contra Costa Blvd
PLEASANT HILL CA 94523-3034
CONTRA COSTA county
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Issuance Date

October 15, 2012

Expiration Date

July 31, 2025

Current Date / Time

June 6, 2025
9:16:54 PM

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: CHENG ZHU DMD PC

License/Registration Type: Additional Office Permit

License Number: 79926 Primary Status: Current - Active

Address :
2201 BOYNTON AVE STE A & B
FAIRFIELD CA 94533
SOLANO COUNTY

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CS to DDS, OMS, or SP

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

Related Party Role: Conscious Sedation Permit

Name: ZHU, CHENG

License/Registration Type: Conscious Sedation Permit

License Number: 866 Primary Status: Cancelled

Address :
2201 Boynton Ave
FAIRFIELD CA 94533-4301
SOLANO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: FREEDOM DENTAL CHENG ZHU DMD DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 14467 Primary Status: Current - Active

Address :
2201 BOYNTON AVE
FAIRFIELD CA 94533
SOLANO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: PLEASANT HILL DENTAL GROUP CHENG ZHU DMD PC.

License/Registration Type: Fictitious Name Permit

License Number: 14588 Primary Status: Current - Active

Address :
1894 CONTRA COSTA BLVD
DANVILLE CA 94526
CONTRA COSTA 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: PLEASANT HILL DENTAL GROUP CHENG ZHU DMD PC.

License/Registration Type: Fictitious Name Permit

License Number: 14588 Primary Status: Current - Active

Address :
1894 CONTRA COSTA BLVD
DANVILLE CA 94526
CONTRA COSTA 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: FREEDOM DENTAL CHENG ZHU DMD DENTAL GROUP INC.

License/Registration Type: Fictitious Name Permit

License Number: 14467 Primary Status: Current - Active

Address :
2201 BOYNTON AVE
FAIRFIELD CA 94533
SOLANO COUNTY

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MDC to DDS or OMS

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

Related Party Role: Mobile Dental Clinic Permit

Name: CHENG ZHU, DDS

License/Registration Type: Mobile Dental Clinic Permit

License Number: 9101 Primary Status: Current - Active

Address :
1894 CONTRA COSTA BLVD
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY

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MS to DDS or OMS or SP

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

Related Party Role: Moderate Sedation Permit

Name: ZHU, CHENG

License/Registration Type: Moderate Sedation Permit

License Number: 177 Primary Status: Current - Active

Address :
1894 CONTRA COSTA BLVD
PLEASANT HILL CA 94523
CONTRA COSTA COUNTY

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Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Dentist

Related Party Role: Registered Dental Hygienist Alternative Practice

Name: WALKER, DIAMOND TIERA

License/Registration Type: Registered Dental Hygienist Alternative Practice

License Number: 801 Primary Status: Current - Active

Address Not Disclosed

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