Provider Demographics
NPI:1922018191
Name:RHO, WILMA
Entity Type:Individual
Prefix:DR
First Name:WILMA
Middle Name:
Last Name:RHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-3101
Mailing Address - Country:US
Mailing Address - Phone:973-984-3900
Mailing Address - Fax:973-539-2712
Practice Address - Street 1:1300 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-3101
Practice Address - Country:US
Practice Address - Phone:973-984-3900
Practice Address - Fax:973-539-2712
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI197761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice