Individual
DR. SHANE M JUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14 N HALE ST, GRANTSVILLE, UT 84029
(435) 884-3002
Mailing address
226 E ROCKWOOD WAY, STANSBURY PARK, UT 84074-5573
(801) 372-8396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6427587-9923
UT
Other
Enumeration date
06/28/2014
Last updated
08/25/2018
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