| NPI | 1013274067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASTON TO'OLO Pediatric Dentist 207-942-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: ME 4096) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: ME 3063) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2016-11-10 |