| Endodontric Specialty Group, Llc | |
|
3 Sw 129th Ave Ste 205 Pembroke Pines FL 33027 | |
| (954) 438-4282 | |
| (954) 442-6511 |
| Full Name | Endodontric Specialty Group, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3 Sw 129th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Edward Ronald Kirsh (OWNER) |
| Authorized Official Contact | 9544384282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontric Specialty Group, Llc 3 Sw 129th Ave Ste 205 Pembroke Pines FL 33027 Ph: (954) 438-4282 | Endodontric Specialty Group, Llc 3 Sw 129th Ave Ste 205 Pembroke Pines FL 33027 Ph: (954) 438-4282 |
| NPI Number | 1982762613 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 04/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982762613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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