Individual
MR. KENNETH POLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
12030 MELODY DR, WESTMINSTER, CO 80234-4212
(720) 920-4900
(303) 280-9357
Mailing address
905 W 124TH AVE, STE 130, WESTMINSTER, CO 80234-1715
(720) 920-4900
(303) 920-4823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7878
CO
Other
Enumeration date
04/17/2007
Last updated
10/01/2007
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