# DR. MOHAMMAD MASUDIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588425169
- **Gender:** Man
- **Credential:** DDS, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 112490 | CA | — |
| 122300000X | Dentist | 40350 | TX | — |
| 122300000X | Dentist | DE61488363 | WA | Yes |
| 1223X2210X | Orofacial Pain Dentistry | 112490 | CA | — |
| 1223X2210X | Orofacial Pain Dentistry | 40350 | TX | — |
| 1223X2210X | Orofacial Pain Dentistry | DE61488363 | WA | — |

## Other

- **Enumeration date:** 01/19/2024
- **Last updated:** 03/29/2026
