Individual
MICHAEL R JUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
704 N SPLITROCK BLVD, BRANDON, SD 57005
(605) 582-7102
(605) 582-7109
Mailing address
PO BOX 624, BRANDON, SD 57005-0624
(605) 582-7102
(605) 582-7109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M-592
SD
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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