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Individual
DR. ELIZABETH HELEN BRACK
Active
Individual
DR. ELIZABETH HELEN BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028692
IL
122300000X
Dentist
2013023621
MO
1223G0001X
General Practice Dentistry
Primary
D14127
MN
Other
Enumeration date
07/12/2011
Last updated
10/24/2019
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