Organization
ENDODONTRIC SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD RONALD KIRSH DDS (OWNER)
(954) 438-4282
Entity
Organization
Contact information
Practice address
3 SW 129TH AVE, STE 205, PEMBROKE PINES, FL 33027
(954) 438-4282
(954) 442-6511
Mailing address
3 SW 129TH AVE, STE 205, PEMBROKE PINES, FL 33027
(954) 438-4282
(954) 442-6511
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/05/2006
Last updated
04/02/2014
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