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Licensing details for: 5769

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

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

40 S CALIFORNIA STREET
STOCKTON CA 95202
SAN JOAQUIN county
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Issuance Date

September 26, 2005

Expiration Date

June 30, 2012

Current Date / Time

September 8, 2025
1:44:43 PM

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: HU, WEI CHIANG

License/Registration Type: Dentist License

License Number: 50469 Primary Status: Current - Active

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, CHEE CHIANG

License/Registration Type: Dentist License

License Number: 47858 Primary Status: Current - Active

Address :
1824 Avondale Dr
Suite # B
SACRAMENTO CA 95825
SACRAMENTO COUNTY

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