Organization
TRINITY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMARIN MOON DMD (OWNER)
(678) 858-6033
Entity
Organization
Contact information
Practice address
115 TOWNE CENTER PKWY STE 115, HOSCHTON, GA 30548-2222
(678) 858-6033
Mailing address
3509 LILY LN, STATHAM, GA 30666-6507
(678) 858-6033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841861218
NPI
GA
Enumeration date
07/25/2025
Last updated
07/25/2025
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