Michael R Juba DDS INC

NPI #1386198356 in Brandon, South Dakota

Provider Information

NPI Number: 1386198356
Entity Type: Organization
Organization Name: Michael R Juba DDS INC
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2016
Last Updated: Aug 8, 2016

Practice Location

Address: 704 N SPLITROCK BLVD
City: Brandon
State: South Dakota
ZIP Code: 57005-2053
Phone: (605) 582-7102

Authorized Official

Name: DR. MICHAEL JUBA, DDS
Title: OWNER/DENTIST
Phone: (605) 582-7102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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