Individual
DR. BRENT ALVIN RUSNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(804) 262-1060
(804) 264-0445
Mailing address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(804) 262-1060
(804) 264-0445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410886
VA
Other
Enumeration date
11/08/2006
Last updated
07/28/2010
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