Individual
DR. RUSSELL N FRYS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7550 FRANCE AVE S, SUITE 138, EDINA, MN 55435-5624
(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
D8040
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4040091
MEDICA MEDICAL PROVIDER N
MN
Enumeration date
12/28/2005
Last updated
07/08/2007
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