| NPI | 1699850198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD DEMMISTOH IBA Orthodontist President 918-492-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 3359) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |