Dental Board of California
Licensing details for: 1823
Name: FIRST DENTAL GROUP - DR SZU-TSUNG CHANG
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Sole Owner
Previous Names: FIRST DENTAL GROUP - DR SZU CHANG ❖ FIRST DENTAL GROUP - DR SIMON CHANG
Address of Record
9804 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHANG, SIMON
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHANG, SZU-TSUNG
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: CHANG, SZU-TSUNG
License/Registration Type: Dentist License
License Number: 30318 Primary Status: Current - Active
Address :
9804 CENTRAL AVENUE
MONTCLAIR CA 91763
SAN BERNARDINO COUNTY
