Organization
MIDLAND ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE SKIDMORE D.D.S., M.S. (OWNER)
(325) 716-9597
Entity
Organization
Contact information
Practice address
3001 W ILLINOIS AVE STE 1B1, MIDLAND, TX 79701-3181
(432) 689-2006
Mailing address
3001 W ILLINOIS AVE STE 1B1, MIDLAND, TX 79701-3181
(432) 689-2006
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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