They probably could have used some continuing education courses to get up-to-date on more current methods.They do lack professional attire, staff often wear street clothes, short dresses, sandles, shorts etc. Whenever I make an appointment, I'm always confident that they're going to be ready for me at my scheduled time. They answered my questions and spent a lot of time with me. I didn't feel like they were trying to rush my appointment at all. I am also unsure of sanitation since I never saw the dentist or assistant ever wash hands.