# DRY SURG LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730570946
- **Authorized official:** MR. ROBEN DATKHAEV (PRESIDENT)
- **Authorized official phone:** (720) 540-7155

## Contact information

- **Practice address:** 3715 W 95TH PL, WESTMINSTER, CO 80031-2603
- **Practice address phone:** (720) 540-7155
- **Practice address fax:** (720) 540-7155
- **Mailing address:** 3715 W 95TH PL, WESTMINSTER, CO 80031-2603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | SA\#1058 | CO | Yes |

## Other

- **Enumeration date:** 02/10/2015
- **Last updated:** 02/10/2015