Individual
DR. THERESA LYNN SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
14001 E ILIFF AVE STE 201, AURORA, CO 80014-1425
(303) 751-1313
(303) 750-3070
Mailing address
14001 E ILIFF AVE STE 201, AURORA, CO 80014-1425
(303) 751-1313
(303) 750-3070
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7280
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7280
LICENSE
CO
Enumeration date
09/25/2006
Last updated
07/08/2007
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