NPI	LastName	FirstName	MidName	Organization	Mailing Address	City	State	Zip
1437538972				PRIME GERIATRIC DENTAL CARE, PC	11400 SE 37TH AVE	MILWAUKIE	OR	972225982
1881641934	KOCH	BRIAN	D		11400 SE 37TH AVE	MILWAUKIE	OR	972225982

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