Organization
MICHAEL R JUBA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JUBA DDS (OWNER/DENTIST)
(605) 582-7102
Entity
Organization
Contact information
Practice address
704 N SPLITROCK BLVD, BRANDON, SD 57005-2053
(605) 582-7102
(605) 582-7109
Mailing address
704 N SPLITROCK BLVD, PO BOX 624, BRANDON, SD 57005-2053
(605) 582-7102
(605) 582-7109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
M592
SD
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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