Provider Demographics
NPI:1487775359
Name:COLOMA, ARLENE JOY (DDS,MS)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:JOY
Last Name:COLOMA
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15414 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6022
Mailing Address - Country:US
Mailing Address - Phone:440-878-1200
Mailing Address - Fax:
Practice Address - Street 1:15414 PEARL RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6022
Practice Address - Country:US
Practice Address - Phone:440-878-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20150122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist