Provider Demographics
NPI:1851561336
Name:REGULY, CECILIA JESSICA (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:JESSICA
Last Name:REGULY
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:JESSICA
Other - Last Name:IBARGUEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1508 BARTON RD
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373
Mailing Address - Country:US
Mailing Address - Phone:909-810-3017
Mailing Address - Fax:
Practice Address - Street 1:39755 DATE ST STE 208
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563
Practice Address - Country:US
Practice Address - Phone:951-677-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54682122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist