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Specialty(check all that apply)	GeneralEndodonticsOral SurgeryOrthodontics PedodonticsPeriodonticsProsthodonticsOther
Do you plan to purchase within?	3-6 months7-9 months 10-12 months 1 year or more
Do you currently have a system?	YesNo
If yes, current system?
Interested in (check all that apply)	Practice ManagementCharting Digital X-rays Imaging Intra-Oral Camera Paperless Upgrading Current System
Interested in (check all that apply)	Single LocationMulti-LocationAdditional Locations
Contact Instructions	Send InformationPlease Call
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Softech Inc. 28104 Orchard Lake Road Suite 100 Farmington Hills, MI 48334 Phone: 1-800-233-4998 Location Map

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