
Dental Board of California
Licensing details for: 17960
Name: BLOSSOM DENTAL CARE DENTAL PRACTICE OF DR. PARSA INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: PARSA, PARASTOO
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: PARSA, PARASTOO
License/Registration Type: Dentist License
License Number: 49632 Primary Status: Current - Active
Address :
25 N 14th St Ste 820
SAN JOSE CA 95112-6215
SANTA CLARA COUNTY