Individual
ARUNA PAPPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301071
MEDICAID GROUP #
MA
Enumeration date
08/06/2009
Last updated
02/10/2012
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