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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
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Issuance Date

December 12, 1997

Expiration Date

October 31, 2026

Current Date / Time

December 13, 2025
11:31:28 AM

License Relationships

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

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