| NPI | 1881211167 |
|---|---|
| Doing Business As | RIVER RUN DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRENT RUSNAK Owner 804-262-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |