Dental Board of California
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
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: HU, WEI CHIANG
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHANG, CHEE CHIANG
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
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
