| NPI | 1992906879 |
|---|---|
| Doing Business As | MARYLAND ORTHODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MAXINE VILLIERS CLARK CEO 410-719-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MD 8300) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |