Provider Demographics
NPI:1598863961
Name:HAYASHI, RANDALL TOYSON (DDS)
Entity Type:Individual
Prefix:
First Name:RANDALL
Middle Name:TOYSON
Last Name:HAYASHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 W ROBINHOOD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5622
Mailing Address - Country:US
Mailing Address - Phone:209-956-9650
Mailing Address - Fax:209-956-9655
Practice Address - Street 1:1036 W ROBINHOOD DR STE 104
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5622
Practice Address - Country:US
Practice Address - Phone:209-956-9650
Practice Address - Fax:209-956-9655
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36765122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist