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Licensing details for: 8270

Name: ROBERT M LUM, DDS & KARL G LUM, JR, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Partnership

Address of Record

2930 UNION AVE
SAN JOSE CA 95124
SANTA CLARA county
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Issuance Date

May 21, 2004

Expiration Date

February 28, 2019

Current Date / Time

December 13, 2025
11:38:7 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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