NPI | 1255452942 |
---|---|
Doing Business As | RIVER RUN DENTAL |
Entity Type | Organization |
Authorized Contact | BRENT A RUSNAK Owner Dentist 804-262-1060 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401410886) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2016-08-24 |