Individual
DR. ELIZABETH HELEN BRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
503 W MAIN ST, ARLINGTON, MN 55307
(507) 964-2748
Mailing address
56 16TH AVE NE, MINNEAPOLIS, MN 55413-1056
(765) 318-0218
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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