IndividualActive
Mohamed Sirage
NPI 1255688065 · Pediatric Dentistry · Plantation, FL
Mohamed Sirage is a Pediatric Dentistry provider in Plantation, FL (NPI 1255688065).
Provider details
- NPI number
- 1255688065
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN19581 (FL)
Practice location
165 Nw 136th Ave # C110
Plantation, FL 33325-2624
Phone: (954) 846-7171
Fax: (954) 846-7170
Street-level locationGet directions
Mailing address
165 Nw 136th Ave # C110
Plantation, FL 33325-2624
Registry dates
- Enumerated
- 2012-08-10
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.