Koryurek Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44504 Issued in CA

Legal business name

KORYUREK PROFESSIONAL DENTAL CORPORATION

Doing business as

Affinity Dental of Hillcrest

Practice address

3330 3Rd Ave Ste 400
San Diego, CA 92103-5639

Phone

(619) 291-8750

Fax

(619) 291-7536

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xochitl Esparza

Title

Administrator

Phone

(619) 291-8750

Specialties & licenses 1

Addresses

Other names 1

• Affinity Dental of Hillcrest Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1518208768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-291-8750",
            "fax_number": "619-291-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-291-8750",
            "fax_number": "619-291-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORYUREK PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "XOCHITL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-291-8750"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Dental of Hillcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Kort, RD
• Keith E Kortman, MD
• Jennifer Lynn Kortz, DPT
• Mary Elizabeth Korver
• Karam Korya, DDS
• Alev Can Koryurek, DDS
• Nicholas Ian Kos, MD
• Charlesia Kosanke
• Katherine Koschei, MS, OT/L, DRS
• Paul E. Kosciuk, DDS

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.