How to Open a Dental Practice

Episode 21: Whoops It Can Happen to You: The Importance of the Landlord’s Work Letter


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When contractor bids come back higher than expected, the issue often starts with what’s missing from the landlord’s work letter. In this episode, Art and Hailee break down a real situation where a healthcare tenant discovered major gaps in the landlord’s delivery—including no HVAC, no electrical panel, no drywall, and even no concrete slab.

For dental offices, these items can dramatically inflate construction costs and create unexpected budget stress.

This episode covers:
• Why bidding construction from design-only drawings leads to inaccurate pricing
• How missing core infrastructure can add $100K+ to your dental build-out
• What your landlord’s work letter must include before you sign a lease
• How to negotiate TI money when key elements aren’t delivered
• Why working with an experienced healthcare realtor matters

A must-listen for any dentist preparing to lease a new space and wanting to protect their construction budget.

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How to Open a Dental PracticeBy Arminco Inc