Individual
DR. MARIAM ATISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
33428 FIVE MILE RD, LIVONIA, MI 48154-2860
(734) 427-7555
Mailing address
4144 MEADOW WAY, BLOOMFIELD HILLS, MI 48301-1214
(248) 764-8309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601479
MI
Other
Enumeration date
07/07/2022
Last updated
08/26/2025
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