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Organization
MAXINE V. CLARK, D.D.S.
Active
Organization
MAXINE V. CLARK, D.D.S.
Active
Other names
Maryland Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXINE VILLIERS CLARK D.D.S. (CEO)
(410) 787-8875
Entity
Organization
Contact information
Practice address
8028 RITCHIE HWY, SUITE 202, PASADENA, MD 21122-1075
(410) 787-0075
(410) 787-0087
Mailing address
8028 RITCHIE HWY, SUITE 202, PASADENA, MD 21122-1075
(410) 787-0075
(410) 787-0087
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8300
MD
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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