Russell N. Frys Jr,, Dds Pa

NPI 1174884753 - Dentist - 1223G0001X

NPI Details
NPI 1174884753
Enumeration Date 05/31/2012
Last Updated 05/31/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RUSSELL NICHOLAS RUSSELL
Position PRESIDENT
Phone (952) 831-1332
Fax (952) 831-0553
Practice Location
7550 FRANCE AVE SOUTH
SUITE 138
EDINA MN, 55435-4761, US
Phone (952) 831-1332
Fax (952) 831-0553
Business Location
7550 FRANCE AVE S
SUITE 138
EDINA MN, 55435-5624, US
Phone (952) 831-1332
Fax (952) 831-0553
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8040
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According to our database, Russell N. Frys Jr,, Dds Pa NPI is 1174884753, taxonomy code is 1223G0001X and license number is 8040, license state is located at Minnesota. Russell N. Frys Jr,, Dds Pa physically located at 7550 France Ave South, Edina MN, 55435-4761. NPI Number 1033115704 has the healthcare provider type.

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1174884753 NPI number is provided on an as is basis without warranty of any kind. 1174884753 is maintained by the National Plan & Provider Enumeration System. The contents of Russell N. Frys Jr,, Dds Pa are for informational purposes only.