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It's going to be a disaster for them to bring in you marketing outside to bring a new patient and the practice when the houses got termites why we want to put shingles on house and got termites out there. Is an issue and we don't know what it is it's not always a clear cut single thing of why they are losing patient this is why every system in the practice has to be looked at and analyzed. For poor customer service it's interesting because when when you mention poor customer service the Dennis and get defensive and so we will have poor customer because in their mind. Is how well they treat patients and they now to treat patients really well at it that you need to patient can leave for multiple reasons that the key point in getting a dentist to understand. That they are losing patience is simply by looking at the number of producers that they have over the number of years that they haven't practice practice determine.

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