Organization
RUSSELL N. FRYS JR,, DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL NICHOLAS FRYS DDS (PRESIDENT)
(952) 831-1332
Entity
Organization
Contact information
Practice address
7550 FRANCE AVE SOUTH, SUITE 138, EDINA, MN 55435-4761
(952) 831-1332
(952) 831-0553
Mailing address
7550 FRANCE AVE S, SUITE 138, EDINA, MN 55435-5624
(952) 831-1332
(952) 831-0553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8040
MN
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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