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Individual

DR. ALEX LORD NYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1290 SALEM RD SW STE 10, ROCHESTER, MN 55902-4210
(507) 216-5863
Mailing address
2061 SYCAMORE RD, DEKALB, IL 60115-2042
(815) 862-2005
(815) 748-3471

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031118
IL

Other

Enumeration date
05/22/2017
Last updated
08/28/2021
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