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Licensing details for: 4214

Name: PARSA BRITE DENTAL GROUP, PARSA INC

License Type: Fictitious Name Permit

Primary Status: Cancelled

Organization Classification: Corporation

Address of Record

1573 SOUTH HARBOR BLVD
FULLERTON CA 92832
ORANGE county
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Issuance Date

April 21, 2003

Expiration Date

September 30, 2013

Current Date / Time

June 21, 2025
9:23:39 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: PARSA, ALI

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: TAVAKOLI, ALI REZA

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: TAVAKOLI, ALI REZA

License/Registration Type: Dentist License

License Number: 46985 Primary Status: Current - Active

Address :
1221 N HARBOR BLVD
ANAHEIM CA 92801
ORANGE COUNTY

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