Provider Demographics
NPI:1891517371
Name:EL MAKI, OLA ABDEL HAMID (DDS)
Entity type:Individual
Prefix:
First Name:OLA
Middle Name:ABDEL HAMID
Last Name:EL MAKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S ROSE STREET
Mailing Address - Street 2:APT 406
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007
Mailing Address - Country:US
Mailing Address - Phone:226-750-0698
Mailing Address - Fax:
Practice Address - Street 1:6385 B DR N
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-7573
Practice Address - Country:US
Practice Address - Phone:269-966-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901602384122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist