DR. MAXINE CLARK, D.D.S.

Dentist - Orthodontics and Dentofacial Orthopedics

Active Individual
NPI: 1386865137

Practice Address

5094 DORSEY HALL DR
SUITE 204
Ellicott City, MD 21042

Phone: (410) 992-7911

Specialties

Specialty Code Primary License
Dentist - Orthodontics and Dentofacial Orthopedics 1223X0400X Yes 8300 (MD)

Frequently Asked Questions

NPI 1386865137 is the National Provider Identifier for DR. MAXINE CLARK, D.D.S., a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Ellicott City, MD. This NPI was enumerated on May 1, 2007.
DR. MAXINE CLARK, D.D.S. practices at 5094 DORSEY HALL DR, SUITE 204, Ellicott City, MD 21042.

Quick Facts

NPI
1386865137
Type
Individual
Enumerated
May 1, 2007
Last Updated
Jul 8, 2007

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