Organization
PERFORMANCE DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS SIGMAN DDS (OWNER)
(720) 446-9056
Entity
Organization
Contact information
Practice address
5365 SPINE RD, STE D, BOULDER, CO 80301-3324
(720) 446-9056
Mailing address
5365 SPINE RD, STE D, BOULDER, CO 80301-3324
(720) 446-9056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10770
CO
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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