Maxine V Clark, DDS, PA
Maxine V Clark, DDS, PA is a Dental Clinic/Center in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2007.
- Licensed in
- MD
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5094 Dorsey Hall Dr Ste 204Ellicott City, MD 21042-7820
Phone: (410) 992-7911
Fax: (410) 992-0250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 8300 (MD) |
|---|
Record details
| NPI number | 1083758460 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maxine Clark — Ceo · (410) 992-7911 |
| Other names | Maryland Orthodontic Specialists |
| NPI enumerated | February 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5094 Dorsey Hall Dr, Suite 204, Ellicott City, MD 21042-7820 |
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