Individual
GREGORY DALE BACK I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1275 E 2ND STREET, FRANKLIN, OH 45005
(937) 704-0809
(937) 704-0820
Mailing address
7518 WHITEHALL DR, DAYTON, OH 45459-3446
(347) 901-0406
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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