# BRENT A. RUSNAK, D.D.S, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Run Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255452942
- **Authorized official:** DR. BRENT A RUSNAK (OWNER DENTIST)
- **Authorized official phone:** (804) 262-1060

## Contact information

- **Practice address:** 7820 SHRADER RD, RICHMOND, VA 23294-4222
- **Practice address phone:** (804) 262-1060
- **Mailing address:** 7820 SHRADER RD, RICHMOND, VA 23294-4222
- **Mailing address phone:** (804) 262-1060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410886 | VA | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 08/24/2016