Bruce A Kushner, D.M.D. Valid NPI
Individual provider · General Practice Dentistry · Port St Lucie, FL
- NPI
- 1164623641
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DN 9257 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-05-30
- Last updated
- 2013-05-20
Practice location
10690 S Us Highway 1, Suite A
Port St Lucie, FL 34952-6411
(772) 335-3300