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Licensing details for: 11915

Name: KARL G. LUM JR., D.D.S AND ROBERT M. LUM, D.D.S., INC.

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

1399 SOUTH WINCHESTER BLVD
SUITE 130
SAN JOSE CA 95128
SANTA CLARA county
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Practice Location

1399 SOUTH WINCHESTER BLVD
SUITE 130
SAN JOSE CA 95128
SANTA CLARA county
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Issuance Date

June 10, 2015

Expiration Date

March 31, 2026

Current Date / Time

June 6, 2025
2:24:26 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LUM, ROBERT MARK

License/Registration Type: Dentist License

License Number: 43812 Primary Status: Current - Active

Address :
1399 S Winchester Blvd
130
SAN JOSE CA 95128-4300
SANTA CLARA COUNTY

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AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LUM, KARL GUT JR

License/Registration Type: Dentist License

License Number: 39984 Primary Status: Current - Active

Address :
39572 Stevenson Pl
SUITE 223
FREMONT CA 94539-3075
ALAMEDA COUNTY

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