Individual
DR. RYAN T HAJEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 1/2 S 6TH ST, COUNCIL BLUFFS, IA 51501-4234
(605) 354-7077
Mailing address
3351 N 125TH ST, OMAHA, NE 68164-4288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7030
NE
122300000X
Dentist
D0985
SD
1223P0221X
Pediatric Dentistry
Primary
09125
IA
Other
Enumeration date
08/06/2012
Last updated
11/20/2024
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