Dental Board of California
Licensing details for: 9833
Name: GOLDEN SPRINGS DENTAL SPECIALTY, DENTAL GROUP OF GLENN CHANG, DDS
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
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, GLENN HSUAN CHEN
License/Registration Type: Dentist License
License Number: 54537 Primary Status: Current - Active
Address :
2636 CHALET PL
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
