Individual
ALEXANDER NICHOLAS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6050 BRYNWOOD DR, ROCKFORD, IL 61114-6579
(815) 201-5955
Mailing address
4000 E CAMPUS LOOP S, LINCOLN, NE 68583-1530
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021003428
IL
Other
Enumeration date
07/27/2022
Last updated
10/01/2025
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