Individual
DR. MOHAMMAD MASUDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Contact information
Practice address
310 S ROOSEVELT ST, GOLDENDALE, WA 98620-9201
(509) 773-4022
Mailing address
PO BOX 1619, GOLDENDALE, WA 98620-1619
(419) 322-0598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
112490
CA
122300000X
Dentist
40350
TX
122300000X
Dentist
Primary
DE61488363
WA
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
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