# DR. PINOCCHIO OTD INC., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Pinocchio Pediatric Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093551517
- **Authorized official:** MALLORY PINOCCHIO (MANAGER)
- **Authorized official phone:** (775) 984-4204

## Contact information

- **Practice address:** 3685 LAKESIDE DR, RENO, NV 89509-5280
- **Practice address phone:** (775) 360-3206
- **Practice address fax:** (775) 490-3001
- **Mailing address:** 3685 LAKESIDE DR, RENO, NV 89509-5280
- **Mailing address phone:** (775) 360-3206
- **Mailing address fax:** (775) 490-3001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 07/03/2024