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Individual

DR. JUDITH G. DEMRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
655 S ILLINOIS AVE, MASON CITY, IA 50401-5405
(641) 424-3375
(641) 422-0163
Mailing address
655 S ILLINOIS AVE, MASON CITY, IA 50401-5405
(641) 424-3375
(641) 422-0163

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6968
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
861958
BCBS OF IA
IA
Enumeration date
02/10/2006
Last updated
12/05/2011
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