Dental Board of California
Licensing details for: 12190
Name: BRILLIANT SMILES FAMILY DENTAL CARE DENTAL OFFICE OF KARL G. LUM
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: BRILLIANT SMILES FAMILY DENTAL CARE
Address of Record
1399 SOUTH WINCHESTER BLVD,
SUITE 130
SAN JOSE CA 95128
SANTA CLARA county
Map
License Relationships
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: 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
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: 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
