Individual
DR. GASTON TO'OLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1048 UNION ST, SUITE 4, BANGOR, ME 04401-8600
(207) 945-5247
(207) 992-2154
Mailing address
1048 UNION ST, SUITE 5, BANGOR, ME 04401-8600
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8397
KY
122300000X
Dentist
DEN4096
ME
1223G0001X
General Practice Dentistry
1199
AK
1223G0001X
General Practice Dentistry
DEN4096
ME
1223P0221X
Pediatric Dentistry
Primary
DEN4096
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434387199
—
ME
Enumeration date
04/12/2007
Last updated
10/26/2011
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