Individual
DR. CONRAD JAMES KUSEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
491 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2044
(772) 878-7525
(772) 340-1807
Mailing address
491 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2044
(772) 878-7525
(772) 340-1807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 10782
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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