Organization
MAXINE V. CLARK. D.D.S., P.A.
Active
Other names
Maryland Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXINE VILLIERS CLARK D.D.S. (CEO)
(410) 719-0480
Entity
Organization
Contact information
Practice address
2 E ROLLING CROSSROADS, SUITE 257, CATONSVILLE, MD 21228-6211
(410) 719-0480
(410) 747-3135
Mailing address
2 E ROLLING CROSSROADS, SUITE 257, CATONSVILLE, MD 21228-6211
(410) 719-0480
(410) 747-3135
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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