After figuring out that I needed to promote myself and behave with intention around growing my practice and doing comprehensive dentistry my practice hit a state of growth and thriving success. It was a slow and steady process of adding 30 new patients a month and making sure we kept them. That growth resulted in a one doctor and four hygienist practice. We'll talk about the one to four ratio, but ultimately I added an associate dentist. This phase of my practice I am still figuring our day by day.