Individual
MS. MOFFETT KABLE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4400 37TH AVE S, DENTAL CLINIC, SEATTLE, WA 98118-1609
(206) 205-6003
Mailing address
2211 2ND AVE W, COTTAGE HOUSE, SEATTLE, WA 98119-2624
(206) 852-0376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5044987
—
WA
Enumeration date
11/14/2006
Last updated
03/07/2023
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