Individual provider · Type 1 NPI

Lisandra Moran Marrero

General Practice Dentistry · Tulare, CA

NPI number 1104776020 Active

Practice location

1263 N Cherry St
Tulare, CA 93274-2233

Mailing address

3951 SW 129th Ave
Miami, FL 33175-3311

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X112519 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104776020

Lisandra Moran Marrero's National Provider Identifier is 1104776020, issued on Jan 30, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tulare, CA. The record was last updated on Jan 30, 2026.