Individual
MISS NICHOLAS MILLS SIGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
306 CENTER DR, SUPERIOR, CO 80027-8625
(303) 499-9555
Mailing address
650 WALDEN CIR, BOULDER, CO 80305-7601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-195-0213
COLORADO DRIVER LICENSE
CO
Enumeration date
07/25/2012
Last updated
07/25/2012
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