Organization
DENTAL FOUNDATIONS AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN DANIEL LAU DDS (OWNER)
(405) 923-5535
Entity
Organization
Contact information
Practice address
20700 W THOMAS RD STE 101, BUCKEYE, AZ 85396-1697
(405) 923-5535
Mailing address
20700 W THOMAS RD STE 101, BUCKEYE, AZ 85396-1697
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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