# CLINT T. WORTON, DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kirkland Children's Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245485333
- **Authorized official:** DR. CLINT WORTON DDS (PRESIDENT)
- **Authorized official phone:** (425) 822-2500

## Contact information

- **Practice address:** 620 KIRKLAND WAY, SUITE 102, KIRKLAND, WA 98033-6021
- **Practice address phone:** (425) 822-2500
- **Practice address fax:** (425) 822-2599
- **Mailing address:** 620 KIRKLAND WAY, SUITE 102, KIRKLAND, WA 98033-6021
- **Mailing address phone:** (425) 822-2500
- **Mailing address fax:** (425) 822-2599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE 8714 | WA | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 11/17/2008