Provider Demographics
NPI:1669550836
Name:JARZEMBINSKI, CYNTHIA T (DDS MS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:T
Last Name:JARZEMBINSKI
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:N96W18221 COUNTY LINE ROAD
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051
Mailing Address - Country:US
Mailing Address - Phone:262-250-9887
Mailing Address - Fax:262-250-7754
Practice Address - Street 1:N96W18221 COUNTY LINE ROAD
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051
Practice Address - Country:US
Practice Address - Phone:262-250-9887
Practice Address - Fax:262-250-7754
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4047-0151223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics