# RION D BLAGROVE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588829931
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14273 | MD | Yes |
| 122300000X | Dentist | DEN1001001 | DC | — |

## Other

- **Enumeration date:** 07/25/2008
- **Last updated:** 09/10/2012
