Individual
MRS. SUSAN CAROL SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
300 W ROSEDALE ST, FWOPC--DENTAL, FT WORTH, TX 76104-4856
(817) 882-6021
(817) 882-6575
Mailing address
1709 WEILER BLVD, FT WORTH, TX 76112-3966
(817) 496-1792
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7300
TX
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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