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
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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