| NPI | 1144314956 |
|---|---|
| Doing Business As | AFFILIATED SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | CHARLES FREDERIC WHITAKER Owner/President 304-424-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 2353WV) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV WV 09456) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |