# DENTAL FOUNDATIONS AND AESTHETICS

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

## Provider details

- **NPI number:** 1104757129
- **Authorized official:** DR. AUSTIN DANIEL LAU DDS (OWNER)
- **Authorized official phone:** (623) 696-0274

## Contact information

- **Practice address:** 20700 W THOMAS RD STE 101, BUCKEYE, AZ 85396-1697
- **Practice address phone:** (405) 923-5535
- **Mailing address:** 20700 W THOMAS RD STE 107, BUCKEYE, AZ 85396-1697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2026
- **Last updated:** 07/04/2026