Individual
MICHELLE MASUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1855 SAN MIGUEL DR, #22, WALNUT CREEK, CA 94596-5279
(925) 934-3583
Mailing address
1855 SAN MIGUEL DR, #22, WALNUT CREEK, CA 94596-5279
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
56204
CA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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