Gaston To'olo, DMD, MS
24 Penn Plaza | Bangor, ME 04401
T: 207-942-0593 | F: 207-947-5237

Patient Forms

You may access the following new patient form to assist us with your child's dental care. Please complete the following form, and click the "Submit" button at the bottom of the form. Thank you for your cooperation!

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.