| NPI | 1083758460 |
|---|---|
| Doing Business As | MARYLAND ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MAXINE VILLIERS CLARK CEO 410-992-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 8300) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |