MATTHEW WAYNE FOWLKES

MONROE, LA
NPI1376705087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: LA  6460)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: MS  3464-08 / OS-481-14)
Enumeration Date2008-06-25
Last Update Date2014-07-14
Business Address
Dr. MATTHEW WAYNE FOWLKES D.M.D., M.D.
2003 FORSYTHE AVE
MONROE, LA 71201-3608
Phone number: 318-388-2621
Mailing Address
Dr. MATTHEW WAYNE FOWLKES D.M.D., M.D.
2003 FORSYTHE AVE
MONROE, LA 71201-3608
Phone number: 318-388-2621