Individual
BARON B LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 TULLY RD, TULLY DENTAL CLINIC, SAN JOSE, CA 95111-1917
(408) 817-1462
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS24391
CA
Other
Enumeration date
11/06/2006
Last updated
07/13/2007
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