Individual
DR. JOHN ROMAN BNINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4440 SPRINGFIELD RD STE 101, GLEN ALLEN, VA 23060-3410
(804) 217-9820
(804) 459-8863
Mailing address
4440 SPRINGFIELD RD STE 101, GLEN ALLEN, VA 23060-3410
(804) 217-9820
(804) 459-8863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416543
VA
1223G0001X
General Practice Dentistry
0401416543
VA
Other
Enumeration date
06/07/2019
Last updated
06/30/2021
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