Provider Demographics
NPI:1528562386
Name:SARAGUSA, VALERIE TORRICOS
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:TORRICOS
Last Name:SARAGUSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 RIVERLAND WOODS CT
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-5472
Mailing Address - Country:US
Mailing Address - Phone:864-354-9790
Mailing Address - Fax:
Practice Address - Street 1:2543 LOCUST HILL RD
Practice Address - Street 2:
Practice Address - City:TAYLORS
Practice Address - State:SC
Practice Address - Zip Code:29687-5835
Practice Address - Country:US
Practice Address - Phone:864-879-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9516122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist