| Brent Rusnak River Run Dental Greengate | |
|
3700 Haydenpark Lane Medical Office J Henrico VA 23233 | |
| (804) 262-1060 | |
| Not Available |
| Full Name | Brent Rusnak River Run Dental Greengate |
|---|---|
| Speciality | Dentist |
| Location | 3700 Haydenpark Lane, Henrico, Virginia |
| Authorized Official Name and Position | Brent Rusnak (OWNER) |
| Authorized Official Contact | 8042621060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Rusnak River Run Dental Greengate 7820 Shrader Rd Richmond VA 23294-4222 Ph: (804) 262-1060 | Brent Rusnak River Run Dental Greengate 3700 Haydenpark Lane Medical Office J Henrico VA 23233 Ph: (804) 262-1060 |
| NPI Number | 1659840924 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659840924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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