Organization
KATAHDIN PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GASTON TO'OLO DMD,MS (PEDIATRIC DENTIST)
(207) 942-0593
Entity
Organization
Contact information
Practice address
24 PENN PLZ, BANGOR, ME 04401-3620
(207) 942-0593
(207) 947-5237
Mailing address
24 PENN PLZ, BANGOR, ME 04401-3620
(207) 942-0593
(207) 947-5237
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3063
ME
1223P0221X
Pediatric Dentistry
Primary
4096
ME
Other
Enumeration date
04/16/2012
Last updated
11/10/2016
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