| Michael R Juba Dds Inc | |
|
704 N Splitrock Blvd Brandon SD 57005-2053 | |
| (605) 582-7102 | |
| (605) 582-7109 |
| Full Name | Michael R Juba Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 704 N Splitrock Blvd, Brandon, South Dakota |
| Authorized Official Name and Position | Michael Juba (OWNER/DENTIST) |
| Authorized Official Contact | 6055827102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Juba Dds Inc 704 N Splitrock Blvd Po Box 624 Brandon SD 57005-2053 Ph: (605) 582-7102 | Michael R Juba Dds Inc 704 N Splitrock Blvd Brandon SD 57005-2053 Ph: (605) 582-7102 |
| NPI Number | 1386198356 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386198356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | M592 (South Dakota) | Primary |
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