NPI 1013274067

Katahdin Pediatric Dentistry

Organisation Pediatric Dentistry Bangor, ME

Practice location

Address: 24 Penn Plz, Bangor, ME 04401-3620
Phone: (207) 942-0593
Fax: (207) 947-5237

Authorised official

Name: Gaston To'Olo
Title: Pediatric Dentist
Phone: (207) 942-0593

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 4096 (ME)

Other Dentist providers in Maine →

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence 3063 (ME)

Registry record

NPI: 1013274067
Entity type: Organization
NPI issued: 16 Apr 2012
Record last updated: 10 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.