Individual
DR. CARLYE ZAJICEK TRAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12113 W CENTER RD, OMAHA, NE 68144-3955
(402) 571-0475
(402) 571-2932
Mailing address
12113 W CENTER RD, OMAHA, NE 68144-3955
(402) 571-0475
(402) 571-2932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6275
NE
Other
Enumeration date
02/27/2007
Last updated
08/06/2022
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