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Individual
TRISSTAR OLIVER
Active
Individual
TRISSTAR OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000179
VA
1223G0001X
General Practice Dentistry
Primary
0401414245
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442000179
COMMONWEALTH OF VIRGINIA BOARD OF DENTISTRY (TEMPORARY RESIDENT DENTAL LICENSE)
VA
Enumeration date
07/19/2013
Last updated
09/15/2026
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