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Contact Information

MOHAMMAD MASUDIAN, DDS, MPH
310 S ROOSEVELT ST
GOLDENDALE, WA98620-9201
 Phone: 509-773-4022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Orofacial Pain

1223X2210X
Indicates primary specialty

NPI Profile & details for MOHAMMAD MASUDIAN · (Male)

NPI # 1588425169
Status Active
Credentials DDS, MPH
Entity Individual
Enumeration date 01/19/2024
Last updated 03/29/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 112490
  • TX License # 40350
  • WA License # DE61488363
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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