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Organization
BRENT RUSNAK RIVER RUN DENTAL GREENGATE
Active
Organization
BRENT RUSNAK RIVER RUN DENTAL GREENGATE
Active
Other names
River Run Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RUSNAK DDS (OWNER)
(804) 262-1060
Entity
Organization
Contact information
Practice address
3700 HAYDENPARK LANE, MEDICAL OFFICE J, HENRICO, VA 23233
(804) 262-1060
Mailing address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(804) 262-1060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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