Dental Board of California
Licensing details for: 64527
Name: KLOSS, BENJAMIN DEVERE
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: HERITAGE OAK DENTAL PRACTICE OF DOUGLAS & KLOSS DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 16125 Primary Status: Current - Active
Address :
3700 ATHERTON RD
ROCKLIN CA 95765
PLACER COUNTY
