# HOWARD D IBA DDS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699850198
- **Authorized official:** DR. HOWARD DEMMISTOH IBA DDS (ORTHODONTIST PRESIDENT)
- **Authorized official phone:** (918) 492-5353

## Contact information

- **Practice address:** 5010 E 68TH ST, SUITE 100, TULSA, OK 74156
- **Practice address phone:** (918) 492-5353
- **Practice address fax:** (918) 492-5374
- **Mailing address:** 5010 E 68TH ST, SUITE 100, TULSA, OK 74156
- **Mailing address phone:** (918) 492-5353
- **Mailing address fax:** (918) 492-5374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3359 | OK | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020