MICHAEL RANDOLPH TUCKER

WINNSBORO, LA
NPI1962554535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  2162)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
Dr. MICHAEL RANDOLPH TUCKER DDS
502 PRAIRIE
WINNSBORO, LA 71295
Phone number: 318-435-6155
Mailing Address
Dr. MICHAEL RANDOLPH TUCKER DDS
502 PRAIRIE
WINNSBORO, LA 71295
Phone number: 318-435-6155