MEDICARE: DR. SALEEM SIRRI D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN19113	FL

General Provider Information

NPI Number	:	1578874756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALEEM SIRRI D.D.S

Provider Business Mailing Address
First Line	:	8950 SW 74TH CT STE 1911
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3178
Country	:	US
Telephone Number	:	305-670-0641
Fax Number	:	305-670-3079

Provider Business Practice Location Address
First Line	:	8950 SW 74TH CT STE 1911
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-3178
Country	:	US
Telephone Number	:	305-670-0641
Fax Number	:	305-670-3079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	10/04/2019

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