Individual
DR. KENNETH RICHARD DEPOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9880 NEWKIRK DR, PARMA HEIGHTS, OH 44130-3139
(440) 454-9665
Mailing address
9880 NEWKIRK DR, PARMA HEIGHTS, OH 44130-3139
(440) 454-9665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026359
OH
Other
Enumeration date
01/25/2021
Last updated
01/29/2021
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