Individual provider · Type 1 NPI

Taylor Koren, DDS

Military Health Care Provider · San Diego, CA

NPI number 1497139745 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Call (619) 532-6400 Map

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X31006 (TX)
Dentist 122300000X31006 (TX)
Student in an Organized Health Care Education/Training Program 390200000X31006 (TX)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1497139745

Taylor Koren, DDS's National Provider Identifier is 1497139745, issued on Jul 16, 2015. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Jun 25, 2026.