| Doctor Name: | DR. AMY A NABI |
| NPI Number: | 1255633343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS |
| License Number: | 34121 |
| Business Practice Address: | 394 Lombard St Thousand Oaks, CA - 913605808 |
| Business Phone Number: | 8053795222 |
| Business Fax Number: | 8054950193 |
| Mailing Address: | 394 Lombard St, THOUSAND OAKS |
| State: | CA |
| Postal Code: | 913605808 |
| Phone Number: | 8053795222 |
| Fax Number: | 8054950193 |
| NPI Enumeration Date: | 11/23/2010 |
| NPI Last Update Date: | 11/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |