Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 47317 | CA |
NPI | 1013109743 |
---|---|
Provider Name | Dr. Christopher Michael Sechrist |
First Address | Redlands, CA 92373-6109 |
Second Address | Redlands, CA 92373-4747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2007 |
Last Update Date | 15/01/2014 |