Healthcare Provider Details

I. General information

NPI: 1215862073
Provider Name (Legal Business Name): DZS ENTERPRISE SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47806 PAVILLON RD
CANTON MI
48188-6288
US

IV. Provider business mailing address

47806 PAVILLON RD
CANTON MI
48188-6288
US

V. Phone/Fax

Practice location:
  • Phone: 734-776-8949
  • Fax:
Mailing address:
  • Phone: 734-776-8949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: SONDAI HARRIS
Title or Position: OWNER
Credential:
Phone: 734-776-8949