Joyal Wesley Taylor | San Diego, CA • PECOS Search

Joyal Wesley Taylor

Dentist

Dental Providers

4295 Gesner St, Suite 3l, San Diego, CA 92117-6646

PECOS Enrollment

Based on the most recent information from CMS, provider Joyal Wesley Taylor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1699095422
Provider Type
Individual
Full Name
Taylor, Joyal Wesley
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/3/2010
Last Updated
6/3/2010

Contact Information

Practice Location

4295 Gesner St, Suite 3l, San Diego, CA 92117-6646

Unlisted Fax

Mailing Location

4295 Gesner St, Suite 3l, San Diego, CA 92117-6646

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License DG34212 California