Provider Demographics
NPI:1063427920
Name:ESPARZA, SARAH TRUSCINSKI (DDS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:TRUSCINSKI
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 INDEPENDENCE BLVD
Mailing Address - Street 2:STE 794
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6200
Mailing Address - Country:US
Mailing Address - Phone:757-499-4707
Mailing Address - Fax:
Practice Address - Street 1:762 INDEPENDENCE BLVD
Practice Address - Street 2:STE 794
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6200
Practice Address - Country:US
Practice Address - Phone:757-499-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014111881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice