MEDICARE: PUNEET ARORA D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN1856001	MA

General Provider Information

NPI Number	:	1093078644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUNEET ARORA D.M.D

Provider Business Mailing Address
First Line	:	430 W ERIE ST
Second Line	:	DENTAL DREAMS LLC, C/O JULIETTE BOYCE, STE 200
City	:	CHICAGO
State	:	IL
Zip	:	60654-6914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 STAFFORD ST
Second Line	:	DENTAL DREAMS
City	:	WORCESTER
State	:	MA
Zip	:	01603-1450
Country	:	US
Telephone Number	:	857-891-9549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2012
Last Update Date	:	06/19/2012

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