Individual
ANDREW ANTHONY ATTISHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7395 CAMELOT DR, WEST BLOOMFIELD, MI 48322-3132
(248) 760-3414
Mailing address
7395 CAMELOT DR, WEST BLOOMFIELD, MI 48322-3132
(248) 760-3414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901603232
MI
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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