# ADVANCED DENTAL LAB

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

## Provider details

- **NPI number:** 1235042565
- **Authorized official:** HASS H SALTI CDT (OWNER)
- **Authorized official phone:** (763) 528-0775

## Contact information

- **Practice address:** 7362 UNIVERSITY AVE NE STE 300, FRIDLEY, MN 55432-3150
- **Practice address phone:** (763) 571-4887
- **Mailing address:** 7362 UNIVERSITY AVE NE STE 300, FRIDLEY, MN 55432-3150
- **Mailing address phone:** (763) 571-4887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 126900000X | Dental Laboratory Technician | — | NULL | Yes |
| 126900000X | Dental Laboratory Technician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2026
- **Last updated:** 09/26/2026