Individual
TRACY SCOTT OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2484 N LANDING RD, SUITE 114, VIRGINIA BEACH, VA 23456-3405
(757) 471-5480
(757) 471-7859
Mailing address
1204 KITTIWAKE CT, VIRGINIA BEACH, VA 23451-4923
(757) 422-1317
(757) 961-2771
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007137
VA
Other
Enumeration date
02/08/2007
Last updated
04/25/2016
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