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Search › Maryland › Orthodontics and Dentofacial Orthopedics Dentistry

Maxine Clark, D.D.S

NPI 1386865137 · on the registry since 2007

Practice

Address
5094 Dorsey Hall Dr
Suite 204
Ellicott City, MD 21042
Phone
(410) 992-7911
Fax
(410) 992-0250
Organisation at this address
Maxine V. Clark, D.D.S., P.A.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Maryland