| NPI | 1023770138 |
|---|---|
| Doing Business As | PRAUS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHUNG HYUP LEE Owner 910-964-7971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |