Organization
SMILE EVERYDAY PLANTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SIRAGE DMD (OWNER)
(954) 856-3745
Entity
Organization
Contact information
Practice address
7500 NW 5TH ST STE 107, PLANTATION, FL 33317-1612
(954) 856-3745
Mailing address
7500 NW 5TH ST STE 107, PLANTATION, FL 33317-1612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN21814
FL
1223P0221X
Pediatric Dentistry
Primary
DN19581
FL
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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