Organization
KATAHDIN PEDIATRIC'S PA
Active
Parent organization
KATAHDIN PEDIATRIC'S PA
Other names
Katahdin Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATAHDIN PEDIATRIC'S PA
Authorized official
GASTON TO'OLO DMD, MS (DENTIST)
(207) 942-0593
Entity
Organization
Contact information
Practice address
24 PENN PLZ, BANGOR, ME 04401-3620
(207) 356-9685
Mailing address
24 PENN PLZ, BANGOR, ME 04401-3620
(207) 356-9685
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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