Provider Demographics
NPI:1396908893
Name:TOTO, HERMIONI (DDS)
Entity type:Individual
Prefix:DR
First Name:HERMIONI
Middle Name:
Last Name:TOTO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-6233
Mailing Address - Country:US
Mailing Address - Phone:847-359-3770
Mailing Address - Fax:847-359-3791
Practice Address - Street 1:124 S NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6233
Practice Address - Country:US
Practice Address - Phone:847-359-3770
Practice Address - Fax:847-359-3791
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190163361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice