Dental Board of California
Licensing details for: 9087
Name: BLOSSOM HILL DENTAL CENTER, DENTAL OFFICE OF DEEPIKA JAIN DDS & N
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Previous Names: BLOSSOM HILL DENTAL CENTER
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: JAIN, DEEPIKA
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: NAIDU, NEELIMA P
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: NAIDU, NEELIMA P
License/Registration Type: Dentist License
License Number: 53974 Primary Status: Current - Active
Address :
4064 Avignon Ln
SAN JOSE CA 95135-1166
SANTA CLARA 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: JAIN, DEEPIKA
License/Registration Type: Dentist License
License Number: 44705 Primary Status: Current - Active
Address :
2454 STORY RD
SAN JOSE CA 95122
SANTA CLARA COUNTY
