IndividualActive
Abrian Gonzalez, DDS
NPI 1902646961 · Dentist · Boston, MA
Provider details
- NPI number
- 1902646961
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DL100415 (MA)
Specialties & taxonomies
Dental Providers
Practice location
1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6828
Approximate (ZIP-level) locationGet directions
Mailing address
25 E Bass St
Roma, TX 78584-8508
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.