Organization
BRENT A. RUSNAK, D.D.S, P.C
Active
Other names
River Run Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A RUSNAK (OWNER DENTIST)
(804) 262-1060
Entity
Organization
Contact information
Practice address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(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
0401410886
VA
Other
Enumeration date
04/02/2007
Last updated
08/24/2016
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