Office is antiquated and dingy. Cleanliness is suspect. Staff made appointment scheduling so difficult I gave up and went to a different doctor who said I would not need the surgery this doctor wanted to do. Panoramic x-ray was on film, expensive and of such poor quality second doctor cold not use it, and I paid extra for the copy. Second doctor took single digital x-ray of extraordinary quality didn't even charge me. Considering I would have paid out of pocket hundreds for an unnecessary surgery I would recommend you look elsewhere.