Individual
DR. KENNETH MICHAEL POLESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20000 ROUTE 19, SUITE 200, CRANBERRY TOWNSHIP, PA 16066-6215
(724) 776-7300
Mailing address
2414 LYTLE RD, BETHEL PARK, PA 15102-2736
(412) 835-4887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038991
PA
Other
Enumeration date
04/11/2011
Last updated
12/18/2015
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