# KENNETH D. LAPOLLA, D.D.S,, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaPolla Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841462843
- **Authorized official:** DR. KENNETH DOMINIC LAPOLLA DDS (PRESIDENT)
- **Authorized official phone:** (330) 609-6565

## Contact information

- **Practice address:** 8588 E MARKET ST, WARREN, OH 44484-2339
- **Practice address phone:** (330) 609-6565
- **Mailing address:** 8588 E MARKET ST, WARREN, OH 44484-2339
- **Mailing address phone:** (330) 609-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 3019432 | OH | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 03/31/2008