MATTHEW WAYNE FOWLKES

MONROE, LA
NPI1376705087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: LA  6460)
Additional Taxonomies204E00000X Oral & Maxillofacial Surgery
(Licence: LA  MD.207238)
Enumeration Date2008-06-25
Last Update Date2025-07-01
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