Individual
DR. BENJAMIN DEVERE KLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3700 ATHERTON RD, ROCKLIN, CA 95765-3717
(916) 626-4050
Mailing address
3700 ATHERTON RD, ROCKLIN, CA 95765-3717
(916) 626-4050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
64527
CA
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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