Provider Demographics
NPI:1598155376
Name:CZER, JANELLE LYNNAE (DDS)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:LYNNAE
Last Name:CZER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-3120
Mailing Address - Country:US
Mailing Address - Phone:830-775-2431
Mailing Address - Fax:830-775-7418
Practice Address - Street 1:2223 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3120
Practice Address - Country:US
Practice Address - Phone:830-775-2431
Practice Address - Fax:830-775-7418
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.029874122300000X
TX30992122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist