Search › Minnesota › 1223G0001X
Elizabeth Brack, D.M.D
NPI 1316235369 · on the registry since 2011
Practice
- Address
- 503 W Main St
Arlington, MN 55307 - Phone
- (507) 964-2748
- Organisation at this address
- Forever Smiles, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 7766 Winghaven Blvd, O Fallon, MO
- 2100 11th St E, Glencoe, MN
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
122300000X - Licence states on file
- MO, IL, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota