| Katahdin Pediatric's Pa | |
|
24 Penn Plz Bangor ME 04401-3620 | |
| (207) 356-9685 | |
| Not Available |
| Full Name | Katahdin Pediatric's Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 24 Penn Plz, Bangor, Maine |
| Authorized Official Name and Position | Gaston To'olo (DENTIST) |
| Authorized Official Contact | 2079420593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katahdin Pediatric's Pa 24 Penn Plz Bangor ME 04401-3620 Ph: (207) 356-9685 | Katahdin Pediatric's Pa 24 Penn Plz Bangor ME 04401-3620 Ph: (207) 356-9685 |
| NPI Number | 1679038137 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679038137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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› Verified 8 days ago
Katahdin Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Penn Plz, Bangor, ME 04401 Phone: 207-942-0593 Fax: 207-947-5237 | |
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