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Individual

BRUCE A KUSHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
10690 S US HIGHWAY 1, SUITE A, PORT ST LUCIE, FL 34952-6411
(772) 335-3300
(772) 398-9773
Mailing address
10690 S US HIGHWAY 1, SUITE A, PORT ST LUCIE, FL 34952-6411
(772) 335-3300
(772) 398-9773

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 9257
FL

Other

Enumeration date
05/30/2007
Last updated
05/20/2013
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