Individual
MRIDUL CHAKARVARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3410 FAR WEST BLVD STE 300, AUSTIN, TX 78731-3272
(512) 596-1140
Mailing address
3410 FAR WEST BLVD STE 300, AUSTIN, TX 78731-3272
(512) 596-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30321
TX
1223X2210X
Orofacial Pain Dentistry
Primary
30321
TX
Other
Enumeration date
08/14/2014
Last updated
03/13/2026
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