# ENDODONTRIC SPECIALTY GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982762613
- **Authorized official:** DR. EDWARD RONALD KIRSH DDS (OWNER)
- **Authorized official phone:** (954) 438-4282

## Contact information

- **Practice address:** 3 SW 129TH AVE, STE 205, PEMBROKE PINES, FL 33027
- **Practice address phone:** (954) 438-4282
- **Practice address fax:** (954) 442-6511
- **Mailing address:** 3 SW 129TH AVE, STE 205, PEMBROKE PINES, FL 33027
- **Mailing address phone:** (954) 438-4282
- **Mailing address fax:** (954) 442-6511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 04/02/2014