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Search › Minnesota › 104100000X

Serene Eidem

NPI 1144150434 · on the registry since 2026

Practice

Address
1068 Lake St S Ste 109
Forest Lake, MN 55025
Phone
(651) 982-4792
Fax
(651) 982-6035
Organisation at this address
G2 Dental
Life Roads, Llc
Hue Medical, Llc
Forest Lake Smiles, Pa
Audiology Concepts, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota