# DESIREE S. DIMOND DDS,PC

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

## Provider details

- **NPI number:** 1679629380
- **Authorized official:** DR. DESIREE S. DIMOND DDS (DENTIST)
- **Authorized official phone:** (317) 856-5268

## Contact information

- **Practice address:** 3606 OLENDER DR, INDIANAPOLIS, IN 46221-2749
- **Practice address phone:** (317) 856-5268
- **Practice address fax:** (317) 856-8035
- **Mailing address:** 3606 OLENDER DR, INDIANAPOLIS, IN 46221-2749
- **Mailing address phone:** (317) 856-5268
- **Mailing address fax:** (317) 856-8035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12009228 | IN | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 08/22/2020