License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: KARL G. LUM JR., D.D.S AND ROBERT M. LUM, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 11915 Primary Status: Current - Active
Address :
1399 SOUTH WINCHESTER BLVD
SUITE 130
SAN JOSE CA 95128
SANTA CLARA COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: ROBERT M LUM, DDS & KARL G LUM, JR, DDS
License/Registration Type: Additional Office Permit
License Number: 8270 Primary Status: Cancelled
Address :
2930 UNION AVE
SAN JOSE CA 95124
SANTA CLARA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: BRILLIANT SMILES FAMILY DENTAL CARE DENTAL OFFICE OF KARL G. LUM
License/Registration Type: Fictitious Name Permit
License Number: 12190 Primary Status: Current - Active
Address :
1399 SOUTH WINCHESTER BLVD,
SUITE 130
SAN JOSE CA 95128
SANTA CLARA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: BRILLIANT SMILES FAMILY DENTAL CARE DENTAL OFFICE OF KARL G. LUM
License/Registration Type: Fictitious Name Permit
License Number: 12189 Primary Status: Current - Active
Address :
39572 STEVENSON PLACE, SUITE 223
FREMONT CA 94539
ALAMEDA COUNTY
