Provider Demographics
NPI:1598651168
Name:MAQ SMILE LLC
Entity type:Organization
Organization Name:MAQ SMILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAQUEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:407-978-9452
Mailing Address - Street 1:5600 WATERFORD DISTRICT DR STE 15
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2370
Mailing Address - Country:US
Mailing Address - Phone:786-876-5600
Mailing Address - Fax:786-687-5601
Practice Address - Street 1:5600 WATERFORD DISTRICT DR STE 15
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2370
Practice Address - Country:US
Practice Address - Phone:786-876-5600
Practice Address - Fax:786-687-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty