Individual
DR. KENNETH DOMINIC LAPOLLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8588 E MARKET ST, WARREN, OH 44484-2339
(330) 609-6565
Mailing address
8588 E MARKET ST, WARREN, OH 44484-2339
(330) 609-6565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3019432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0995697
—
OH
Enumeration date
06/28/2005
Last updated
07/09/2007
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