Provider Demographics
NPI:1760590335
Name:KORYUREK, ALEV CAN (DDS)
Entity Type:Individual
Prefix:
First Name:ALEV
Middle Name:CAN
Last Name:KORYUREK
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 1:3330 3RD AVE
Mailing Address - Street 2:SUITE A & B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5639
Mailing Address - Country:US
Mailing Address - Phone:619-291-8750
Mailing Address - Fax:619-291-7536
Practice Address - Street 1:3330 3RD AVE
Practice Address - Street 2:SUITE A & B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5639
Practice Address - Country:US
Practice Address - Phone:619-291-8750
Practice Address - Fax:619-291-7536
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA445041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice