Provider Demographics
NPI:1114983889
Name:TALAVERA, SYLVIA I (DDS)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:I
Last Name:TALAVERA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1692 WADSWORTH BLVD UNIT 105
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5233
Mailing Address - Country:US
Mailing Address - Phone:303-233-2361
Mailing Address - Fax:303-233-2071
Practice Address - Street 1:1692 WADSWORTH BLVD UNIT 105
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5233
Practice Address - Country:US
Practice Address - Phone:303-233-2361
Practice Address - Fax:303-233-2071
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO72861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice