Organization
JAMES RIVER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RUSNAK D.D.S. (OWNER)
(804) 262-1060
Entity
Organization
Contact information
Practice address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(804) 672-8607
(804) 672-8608
Mailing address
7820 SHRADER RD, RICHMOND, VA 23294-4222
(804) 672-8607
(804) 672-8608
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/03/2011
Last updated
06/03/2011
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