Healthcare Provider Details

I. General information

NPI: 1063427920
Provider Name (Legal Business Name): SARAH TRUSCINSKI ESPARZA D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 02/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 INDEPENDENCE BLVD STE 794
VIRGINIA BEACH VA
23455-6200
US

IV. Provider business mailing address

762 INDEPENDENCE BLVD STE 794
VIRGINIA BEACH VA
23455-6200
US

V. Phone/Fax

Practice location:
  • Phone: 757-499-4707
  • Fax:
Mailing address:
  • Phone: 757-499-4707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401411188
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: