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An operator's guide to matching local discovery with real offices, approved consultation paths, staffed intake, and evidence you can audit.

Local SEO for orthodontists breaks when marketing describes a practice that operations cannot deliver. A profile may show an office as open while new-patient intake is unstaffed. A treatment page may remain live after clinician availability changes. A call-button click may reach a recording and still appear in a report as a “lead.”

The fix is to build local search around consultation capacity. Start with the real office and licensed practitioners. Map only practice-approved consultation categories. Connect each query to one page, route each message to staffed intake, and preserve the evidence chain through an attended consultation.

This guide treats orthodontist local SEO as an operating system rather than a collection of keywords. The search record collected July 13, 2026 estimated US volume at 90 and keyword difficulty at 0 for “local seo for orthodontists.” Those vendor metrics describe a query snapshot, not future traffic, patients, rankings, or revenue.

You will build an entity matrix, office capacity cards, a canonical page map, a privacy-reviewed intake and measurement chain, and a 30-day correction backlog.

1. Define the orthodontic entity before optimizing local search

An orthodontic entity model identifies what is real, what may be represented, and who can approve each claim. Separate the practice brand, physical office, eligible practitioner, department, consultation category, and geography before editing profiles or pages. Give every record evidence, an effective date, an update owner, and a licensed or compliance reviewer.

This prevents a common collision: the practice, an orthodontist, and a department all appear as interchangeable listings at one address. Google's business representation guidelines distinguish locations, departments, and public-facing individual practitioners. Eligibility depends on the current facts and rules; sharing an address does not create permission for another profile.

Use the matrix as a change-control document. The authoritative evidence might be a signed lease for an office, the practice's approved directory for a clinician relationship, or an approved service inventory for a consultation category. State dental-board and specialty-advertising review belongs with a qualified reviewer using a current official jurisdictional source, not with the SEO writer.

EntityProfile eligibility questionCanonical pageEvidence / effective dateUpdate owner / licensed reviewerCollision risk
Practice brandIs this the real-world name in current use?Home or practice pageGovernance record / datedPractice owner / reviewerKeyword-stuffed or legacy name
Real officeIs it a staffed, patient-facing location under current rules?Office pageAddress and operations record / datedOperations / reviewerVirtual or closed office
PractitionerIs the orthodontist public-facing and independently eligible?Biography pageAuthoritative credential and schedule record / datedCredential owner / licensed reviewerDuplicate of practice profile
DepartmentIs it distinct and eligible under Google's current rules?Department page if justifiedOrganization record / datedOperations / reviewerInvented subdivision
Consultation categoryIs it approved, available, and accurately described?Category pageClinical content inventory / datedContent owner / licensed reviewerOverlaps another page
GeographyDoes it describe a real office catchment without claiming a false location?Office access contentFirst-party intake evidence / datedMarketing / reviewerDoorway city pages

2. Map local demand to consultation capacity and practice economics

Map demand only after the practice documents which consultations it can accept, at which office, on which clinician days, through which decision-maker path, and with what intake coverage. Use first-party scheduling and fee records for planning. Never convert an external keyword estimate into assumed chair capacity, case value, seasonality, or treatment demand.

Orthodontic intake has operational forks that a generic dental keyword sheet misses. A parent or guardian may initiate a child or teen enquiry, while an adult may be both patient and decision-maker. Those paths can require different approved language and intake steps. Record them only when the practice has approved the distinction; do not infer age, candidacy, treatment, or financial eligibility from a query.

Build one capacity card per real office and consultation category. “New-patient slots” means the office's own count for a declared future window, not a benchmark copied from another practice. The records or chair constraint should include recurring-visit load because a consultation does not consume the same operational resources as an ongoing schedule. Internal fee schedules may help prioritize which pages need current review, but they do not justify publishing a typical fee or case value.

Capacity-card fieldWhat to recordPause condition
Office and categoryReal office; clinician-approved consultation label; accepting stateOffice or category unavailable
Decision pathApproved parent/guardian or adult-patient routeCopy or routing lacks approval
Clinical operationsClinician days; new-patient slots; records/chair constraint; recurring follow-up loadSchedule evidence expired
IntakeStaffed hours; approved channel; urgency routeChannel untested or unstaffed
EconomicsPractice-approved fee/payment source for internal reviewSource missing or public claim unapproved
GovernanceSeasonal evidence window; licensing/advertising reviewerReview incomplete

Measure seasonality from the practice's scheduling history and relevant school or benefit calendars over a declared window. Do not assume every orthodontic practice peaks at the same time. Record state licensure and specialty-advertising review. Mark permits and bonding “not established/applicable” unless a jurisdiction-specific reviewer documents otherwise.

Competitive density also needs a declared frame. Choose a travel-time band, radius, or geo-grid that reflects how this office reviews its catchment. Capture the date, time, device, search terms, eligible orthodontic offices observed, office-versus-practitioner duplicates, map and organic presence, unknowns, and recheck owner. This worksheet is a dated planning snapshot, not market share or a ranking forecast.

3. Give each orthodontist query one canonical page owner

Assign every query family to one page that owns its intent and evidence. Brand, office, practitioner, consultation category, cost or payment information, urgent contact, and education require different destinations. Record the entity, proof, responsible owner, internal links, collision, and a publish, merge, or hold decision before drafting new copy.

The ownership map stops two expensive mistakes. First, a practitioner biography and a treatment-category page compete for the same vague term. Second, a marketer produces ten nearby-city pages that change only place names while every visitor is sent to one fixed office. Google's spam policies identify doorway abuse and scaled low-value content; a city name does not create a distinct user job.

Query / intentEntity and destinationRequired evidenceOwner / internal linksCollisionDecision
Practice brandPractice / home pageApproved real-world identityBrand owner / office and practitioner pagesLegacy brand pageKeep one
Office or locationReal office / office pageAddress, access, hours, staffed intakeOperations / practice pageNonexistent city pagePublish only for a real office
Orthodontist namePractitioner / biographyCurrent authoritative credentials and relationshipCredential owner / office pageThin duplicate biographyMerge or correct
Consultation categoryPractice or office / approved category pageAvailability and licensed content reviewClinical content owner / intake routeOverlapping category pagesKeep one owner
Cost or paymentPractice / approved information pageCurrent practice source and reviewFinance content owner / category pageStale fee claimsHold until approved
Urgent contactPractice / approved contact instructionsStaffed route and scopeIntake owner / office pageGeneric emergency pageCorrect or hold
Educational questionEditorial / reviewed articleQualified source and licensed review where neededEditor / relevant owner pageClinical advice driftPublish, merge, or hold

A fixed office is not a mobile service-area business because patients cross a city boundary to visit it. Use the service-area page decision guide to test whether a separate place page has a real purpose. Groups with multiple real offices should move governance and cannibalization work to the multi-location dental SEO guide.

Turn the ownership map into a publishable local-search plan. theStacc can support GBP posts, review replies, citations and NAP work, Map Pack rank tracking, and researched website content; clinical, legal, privacy, intake, and scheduling approvals remain with your practice.

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4. Make the website and Google Business Profile agree

Audit the website and each verified office profile against one dated real-world source. Compare name, address, phone, regular and special hours, primary destination, live-editor category, approved services, practitioner relationships, and office-specific availability. Log discrepancies before submission, then assign an authorized editor, approver, status check, escalation path, and next review.

Google says local results mainly reflect relevance, distance, and prominence, and there is no way to request or pay for better local ranking. Accuracy is necessary operating hygiene, not a placement guarantee. A correct phone number also does little good when the destination office is not accepting that consultation category.

Do not copy a category list from a blog post into the profile. Google's category guidance says options come from its supplied list, category edits can trigger reverification, and available features can depend on category. Capture the exact options shown in the authorized live editor on the decision date. The dental GBP category guide owns the detailed selection workflow.

FieldLive GBP valueSite valueReal-world source / discrepancyCorrection / submitter / approverStatus / rollback / next review
Name, address, phoneDated captureOffice pageApproved identity recordProposed value / authorized owner / reviewerDraft, submitted, live, escalated / plan / date
Hours and special hoursDated captureOffice and contact pagesStaffing calendarCorrection / profile owner / operationsStatus / restore prior value / next holiday check
Primary destinationProfile linkCanonical office ownerOwnership mapCorrection / profile owner / SEO ownerStatus / prior URL / review date
Category and servicesLive-editor captureApproved category pagesService inventoryCorrection / owner / licensed reviewerStatus / reverification escalation / date
Practitioner relationshipProfile stateBiography and office pagesCurrent relationship recordCorrection / owner / licensed reviewerStatus / departure plan / date

For detailed edits, use the dental GBP optimization workflow. Special hours often drift: the profile changes while the contact page or call route keeps the old expectation. Test the whole path.

5. Build local proof without exposing patient information

Build proof from verifiable office access, current clinician credentials, accurate community facts, genuine review operations, and media with documented authorization. Put testimonials, before-and-after material, diagnosis or treatment claims, minor-patient information, and marketing permissions behind privacy, advertising, and licensed review. A public review never creates consent for reuse or disclosure.

Orthodontic proof often involves children, longitudinal care, and identifiable images. That makes casual repurposing especially risky. HHS explains that some marketing uses or disclosures of protected health information may require written authorization, subject to defined exceptions. Treat its marketing guidance as a publication review gate, not as legal advice or a universal compliance conclusion.

Use a proof register with five fields: claim or asset, authoritative source, authorization record, licensed/privacy reviewer, and expiry or recheck date. Low-risk candidates include parking instructions verified by the office, accessibility facts verified on site, or a clinician credential checked against an authoritative record. Community claims still need evidence; sponsorship copy from three years ago should not remain “current.”

For reviews, Google permits requests based on genuine experiences, prohibits incentives, and advises protecting private information in public replies. A sound operation records the request trigger, eligible audience, template owner, reply approver, and escalation route. Never quote a reviewer elsewhere merely because the review is public. The Local SEO module supports review replies, but the practice must supply its approval and privacy rules.

What goes wrong in practice is small: a well-meaning staff member repeats a treatment detail in a public reply, or a marketer crops a consented image for a new use that the authorization did not cover. Use neutral public replies, move account-specific communication to the approved private channel, and stop publication whenever scope or authorization is unclear.

6. Route routine and urgent messages to staffed intake

Give each message type a practice-approved channel with stated staffed hours, permitted actions, privacy warning, fallback, owner, and last-tested date. Separate new-patient consultations, existing-patient administration, referral coordination, payment or insurance questions, and urgent clinical messages. Never diagnose, triage symptoms, promise same-day care, or imply a click reaches a clinician.

The word “urgent” creates an operational duty marketing cannot define. Use only the practice's approved language and route. The page can state how to contact the office during staffed hours and what fallback the practice has authorized outside them. It cannot determine clinical urgency, advise on symptoms, or suggest that a general web form is monitored by a clinician.

User jobApproved channel / staffed hoursCan doCannot do / privacy warningFallback / owner / last tested
New-patient consultationPractice-defined phone or form / published staffed windowCollect approved minimum and request scheduling reviewCannot confirm candidacy, treatment, or attendanceApproved fallback / intake owner / date
Existing-patient administrationExisting-patient route / staffed windowHandle approved administrative tasksDo not place private details in a public form or reviewApproved fallback / operations / date
Referral coordinationDedicated practice route / staffed windowRoute approved referral informationDoes not confirm acceptance or clinical decisionApproved fallback / referral owner / date
Payment or insurance questionApproved financial-information route / staffed windowProvide practice-approved informationCannot promise coverage, financing, or feeApproved fallback / finance owner / date
Urgent clinical messagePractice-approved urgent route / declared coverageFollow the practice's authorized routing procedureWebsite copy cannot diagnose, triage, or promise responseApproved fallback / clinical operations / date

Parent or guardian and adult-patient paths belong in the table only if the practice has approved how they differ. Avoid asking for more data than the route needs. HHS has also published guidance on online tracking technologies that flags obligations that may arise when regulated entities disclose data to vendors. Have the practice's qualified privacy reviewer approve form fields, analytics, vendors, and joins.

Test failure states, not just the happy path: after-hours message, wrong office, disconnected number, form error, duplicate submission, unsupported request, no consultation capacity, and a clinician-day change. A green form-success screen proves server acceptance only. It does not prove that intake saw the request or that the requested consultation is available.

7. Measure every search-to-consultation stage separately

Keep every stage as its own event with a business rule, timestamp, source system, owner, join key, privacy approval, and exclusions. An impression, click, submission, connection, qualification, booking, and attendance answer different questions. Booked consultation is the booked-job analogue; attended consultation is the completed-job analogue. Neither means treatment start, completed case, patient, or revenue.

Google Business Profile Performance distinguishes views from interactions and defines Calls as call-button clicks. Website clicks are clicks on the profile's website link. Google's metric definitions do not turn either action into a connected enquiry. Search Console likewise defines impressions, clicks, CTR, and average position with aggregation and filters that affect interpretation.

StageBusiness rule and timestampSource system / ownerJoin key / privacy approvalExclusions
ImpressionSearch Console records the declared query/page/device/country view / platform dateGSC / SEO ownerAggregate grouping / approvedMismatched filters, missing queries, undeclared search types
Organic clickGSC click for identical declared grouping / platform dateGSC / SEO ownerAggregate grouping / approvedOther search types or filters
Profile website clickClick on named office profile website link / platform dateGBP Performance / profile ownerNamed profile / approvedCalls, directions, other profiles
Call clickClick on named office profile call button / platform dateGBP Performance / profile ownerNamed profile / approvedConnection and unique-caller assumptions
Form submissionUnique successful consultation form accepted by server / server timeForm/server log / digital ownerPrivacy-reviewed event key / requiredTests, failures, duplicates, bots, admin forms
Connected contactCall connected or accepted form reached intake under written rule / intake timePhone or intake log / intake ownerApproved contact key / requiredClicks without connection, spam, vendors
Qualified enquiryConnected contact meets office, category, accepting-state, and capacity rules / qualification timeIntake record / intake ownerApproved cohort key / requiredUnsupported routes, admin, duplicates, unapproved joins
Booked consultationQualified enquiry has confirmed new-patient consultation / booking timeScheduling system / scheduling ownerApproved cohort key / requiredHolds, duplicate reschedules, existing-patient visits
Attended consultationBooked consultation marked attended under written completion rule / attendance timeScheduling system / operations ownerApproved cohort key / requiredCancellations, no-shows, existing-patient visits
Treatment start, optionalSeparate practice-defined event / recorded timePractice-management system / approved ownerPrivacy-reviewed key / requiredBookings, attendance, incomplete records
Completed orthodontic case, optionalSeparate practice-defined completion / recorded timePractice-management system / approved ownerPrivacy-reviewed key / requiredTreatment starts, active or incomplete records

Use only stage-matched formulas

Every formula needs a numerator, denominator, evidence window, source, owner, and exclusions. Do not place six rates in one “conversion” row. Use these definitions:

  • Organic CTR: Google organic clicks divided by organic impressions for the identical query/page/device/country grouping; one declared 28-day window; GSC Performance; SEO owner; exclude image, video, or news search unless declared, mismatched filters, anonymized or missing queries, and preliminary dates.
  • GBP call-click rate: call-button clicks divided by profile views for the same named verified office profile; one declared 28-day window; GBP Performance; profile owner; exclude other profiles, website clicks, directions, and unsupported repeat-user assumptions. Never count clicks as connected calls.
  • Form completion rate: unique successful new-patient consultation forms accepted by the server divided by unique starts under the written start rule; one declared 28-day window; privacy-reviewed analytics plus server/form log; digital owner with privacy approval; exclude tests, duplicates, failures, admin forms, vendors, job seekers, bots, and spam.
  • Qualified-enquiry rate: unique connected calls or accepted forms marked qualified under written office, category, accepting-state, and capacity rules divided by all unique connected calls plus accepted forms in the same cohort; one 28-day intake cohort; phone/intake log plus form, CRM, or practice-management intake record; intake owner; exclude click-only calls, duplicates, spam, vendors, job seekers, administration, unsupported categories, and unapproved PHI joins.
  • Consultation-booking rate: unique qualified enquiries with confirmed new-patient consultation bookings divided by all unique qualified enquiries created in the same cohort; 28-day intake cohort plus declared booking-lag window; scheduling or practice-management system; scheduling owner; exclude duplicate reschedules, existing-patient visits, tentative holds, and cancellations from attendance.
  • Consultation-attendance rate: unique booked new-patient consultations marked attended under the written completion rule divided by all new-patient consultations booked from the same cohort; declared booking cohort plus enough lag for scheduled dates; scheduling or practice-management system; practice operations owner; exclude duplicate reschedules, cancellations, no-shows, and existing-patient visits. Attendance is not treatment start or case completion.

GA4 recommends distinct lead events such as generate_lead, qualify_lead, working_lead, and close_convert_lead, but each still needs a practice-approved definition and privacy review. The useful report shows where the chain breaks. It does not hide the break by renaming upstream activity as patients.

Make local-search reporting match orthodontic intake reality. theStacc supports GBP, citation, review-reply, Map Pack tracking, and content work. Your approved phone, form, intake, scheduling, and practice-management systems remain the evidence owners for downstream stages.

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8. Catch the orthodontist-specific failure modes

Audit failures where orthodontic identity, availability, privacy, and intake meet search. Prioritize false offices, duplicate profiles, unsupported clinician or consultation claims, unstaffed urgent routes, patient or minor media, fee promises, expired hours, and stage-collapsed reporting. Test each failure against a named entity, source record, owner, reviewer, rollback condition, and patient impact.

  • Keyword-stuffed practice name: compare the profile with the approved real-world brand record.
  • Duplicate practitioner, department, or practice profile: check current Google eligibility before any creation, merge, or removal.
  • Nonexistent-office city page: hold it unless it has a distinct task, real evidence, and doorway review.
  • Generic “emergency” claim: replace it with the practice-approved route and staffed coverage, without diagnosis or response promises.
  • Unavailable consultation or clinician: pause promotion when the capacity card or relationship record expires.
  • Fee, insurance, or financing promise: hold publication pending the current practice source and qualified review.
  • Expired hours: test profile, office page, call route, and form confirmation together.
  • Unapproved patient or minor media: remove from publication flow until authorization scope and reviews are documented.
  • Incentivized or revealing review operation: stop requests or replies and correct the policy and escalation route.
  • Call click reported as patient: restore every intervening stage in the funnel dictionary.
  • Copied multi-office content: keep office evidence with its real location and merge generic duplication.

Run the failure-state test with realistic conditions: practitioner departure, temporary closure, changed clinician days, unsupported request, after-hours urgent message, wrong office, disconnected call route, form error, duplicate form, spam, vendor or job-seeker contact, no consultation capacity, cancellation, no-show, and tracking or consent failure.

The hard part is ownership during an incident. Give each test an expected behavior and evidence record. For a temporary closure, for example, identify who changes the profile and site, who updates intake, what happens to scheduled consultations, when the prior state may be restored, and which reviewer signs off. Do not improvise from the marketing dashboard.

9. Run a 30-day audit, then keep, correct, merge, or hold

Use 30 days to establish truth and correct controlled surfaces, not to promise ranking movement. Audit entities and capacity in days 1–7, query ownership in days 8–14, profile, site, and intake agreement in days 15–21, then measurement and prioritized corrections in days 22–30. Review the program again at 14, 30, 60, and 90 days.

WindowWorkEvidence producedExit test
Days 1–7Entity and capacity truthEntity matrix, capacity cards, density worksheetEvery live claim has an owner, source, date, and reviewer
Days 8–14Query and page ownershipCanonical ownership map and collision listEach intent has one owner and a publish, merge, or hold decision
Days 15–21GBP, site, and intake QATruth ledger, routing table, failure testsReal-world facts and staffed routes agree
Days 22–30Measurement QA and correctionFunnel dictionary, formula sheet, prioritized backlogStages remain separate and joins have privacy review

The correction backlog needs enough detail to survive handoffs: issue, evidence, affected entity/page/profile, patient risk, search risk, owner, reviewer, dependency, due date, rollback condition, and keep/correct/merge/hold decision. Patient-facing misinformation and broken urgent routing outrank cosmetic title changes. Duplicate pages may need a merge plan; unreviewed clinical or fee claims should be held.

At day 14, review indexation and intent ownership. At day 30, review evidence freshness and usability from search result through staffed intake. At days 60 and 90, inspect consolidation decisions and like-for-like stage metrics using declared windows. A search change may be technically live yet still fail because the office has no approved capacity for the promoted path.

After the audit, split the durable work among the right owners. The dental local SEO operating guide covers shared practice controls, while the broader dental SEO guide covers nonlocal content and technical work. theStacc's Content SEO module supports researching, writing, and publishing content after the practice defines its evidence and review gates.

Frequently asked questions about orthodontist local SEO

These answers resolve the decisions practice owners usually face after the operating model is documented: scope, page geography, profile eligibility, categories, posts, lead definitions, and purchasing. They add guardrails rather than repeating implementation steps. Use current official sources and the practice's own records whenever a fact can change.

What is local SEO for orthodontists?

Local SEO for orthodontists is the practice-level system that aligns a real office, its website, Google Business Profile, local proof, and staffed intake with nearby searches. Its useful endpoint is an attended new-patient consultation recorded by the scheduling system, not a rank, profile view, call click, form submission, treatment start, or revenue event.

How is orthodontist local SEO different from general dental SEO?

Orthodontist local SEO accounts for specialty and practitioner representation, parent or guardian and adult decision paths, fixed-office travel patterns, consultation capacity, and recurring-visit load. General dental SEO covers a wider mix of practice services and nonlocal content. Use the orthodontic layer for consultation operations and the broader dental guide for shared technical and content work.

Should an orthodontic practice create a page for every nearby city?

No. A fixed orthodontic office should not publish city-swapped pages merely because people may travel from those cities. Publish a nearby-place page only when it serves a distinct patient task, has verified local evidence, has a canonical owner, and passes a doorway-abuse review. Otherwise, explain the office location and access clearly on the real office page.

Does each orthodontist or office need a separate Google Business Profile?

Not automatically. Each real office, department, and public-facing practitioner must be evaluated under Google's current eligibility and representation rules. Document the entity, authoritative evidence, profile owner, collision risk, and rollback path before creating or changing anything. Do not create duplicate profiles to occupy more map results, and do not treat every clinician schedule as profile eligibility.

What Google Business Profile category should an orthodontist choose?

Choose from the categories currently available in the authorized live Google Business Profile editor, using the fewest specific categories that accurately describe the office. Do not hard-code a universal answer from an old list. Capture the selected label and date, obtain authorized approval, and plan for reverification or rollback before submitting a category change.

Do GBP posts help an orthodontic practice rank or get patients?

Publishing a GBP post does not prove a ranking effect or a patient outcome. Treat the post as a governed profile surface with an office owner, approved copy, expiry check, and destination. Measure its profile interaction separately, then follow connected enquiries and consultations in their own systems. Google states that local results mainly reflect relevance, distance, and prominence.

Use the dental GBP posts guide for post patterns, approvals, expiry, and measurement.

Does a call click or form submission count as a new orthodontic patient?

No. A call click records an interaction with a call button, and a successful form submission records an accepted form event. Neither proves a connected contact, qualified enquiry, booked consultation, attended consultation, treatment start, completed case, new patient, or revenue. Advance the record only when the next source system satisfies its written business rule.

How much does local SEO for an orthodontist cost?

There is no defensible universal price for orthodontist local SEO. Cost depends on office count, profile and practitioner complexity, website condition, content scope, citation cleanup, review operations, tracking design, and required licensed or privacy review. Ask for a written deliverable list, owners, evidence sources, exclusions, correction process, and reporting dictionary before comparing proposals.

Build local SEO around the consultation the office can actually support

The durable orthodontist local SEO system starts with office truth, approved consultation capacity, and staffed intake. It gives each query one owner, makes the website and profile agree, governs local proof, and preserves every evidence stage through attended consultation. The 30-day audit creates that control system; later reviews keep it current.

Start with the entity matrix and one office capacity card. Hold unsupported pages and claims. Then test one complete route from a local search impression to the scheduling record without relabeling any intermediate event. That narrow trace reveals more than a dashboard full of combined “leads.”

For the adjacent product and practice context, see theStacc for dental practices. The scope is content and local-search operations; the practice retains clinical, privacy, advertising, intake, and scheduling authority.

Build an orthodontic local-search plan around what each office can support. Bring your entity, capacity, page-ownership, and measurement questions to a focused strategy conversation.

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Sources & references

Siddharth Gangal

Siddharth Gangal

Founder and CEO

Founder and CEO at theStacc. Previously co-founded ARKA 360 (solar SaaS) out of IIT Mandi in 2017. Builds AI systems that automate SEO at scale.

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