Organization · Type 2 NPI
Maxine V. Clark, D.d.s.
Dental Clinic/Center · Pasadena, MD
NPI number
1801097787
Active
Practice location
8028 Ritchie Hwy, Suite 202
Pasadena, MD 21122-1075
Fax (410) 787-0087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 8300 (MD) |
Dental Clinic/Center: Definition to come...
42 other providers at this address
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Other dental clinic/center providers in Pasadena
About NPI 1801097787
Maxine V. Clark, D.d.s.'s National Provider Identifier is 1801097787, issued on May 30, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pasadena, MD. The record was last updated on Aug 22, 2020.