# DR. LANCE J. SKIDMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912069840
- **Gender:** Man
- **Credential:** D.D.S.,M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 23788 | TX | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/13/2008