# PAINLESS DENTISTRY IV PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093927360
- **Authorized official:** KEITH A WEST DDS (OWNER)
- **Authorized official phone:** (517) 372-5051

## Contact information

- **Practice address:** 1808 S PENNSYLVANIA AVENUE, LANSING, MI 48910
- **Practice address phone:** (517) 372-5051
- **Practice address fax:** (517) 372-5989
- **Mailing address:** 1808 S PENNSYLVANIA AVENUE, LANSING, MI 48910
- **Mailing address phone:** (517) 372-5051
- **Mailing address fax:** (517) 372-5989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12345 | MI | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 02/17/2009