Organization
HOWARD D IBA DDS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD DEMMISTOH IBA DDS (ORTHODONTIST PRESIDENT)
(918) 492-5353
Entity
Organization
Contact information
Practice address
5010 E 68TH ST, SUITE 100, TULSA, OK 74156
(918) 492-5353
(918) 492-5374
Mailing address
5010 E 68TH ST, SUITE 100, TULSA, OK 74156
(918) 492-5353
(918) 492-5374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3359
OK
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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