RANDALL LEO TOLOCKO

BISHOP, CA
NPI1619067048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  31717)
Enumeration Date2006-10-14
Last Update Date2007-07-08
Business Address
Dr. RANDALL LEO TOLOCKO dmd
306 E LINE ST
BISHOP, CA 93514-3504
Phone number: 760-873-5191
Mailing Address
Dr. RANDALL LEO TOLOCKO dmd
306 E LINE ST
BISHOP, CA 93514-3504
Phone number: 760-873-5191