We had our cat seen by Gateway medical clinic in Cleveland. They refused to re-mediate the pain that was still there after charging us over $400 and removing most of Salem's teeth. Their solution was to come in and spend more money instead of ensuring that Salem's pain was gone ans that their service was actually valuable instead of just unnecessary surgery. ALL they do is play a guessing game that costs A LOT of money and treat your pet like a number in a warehouse. They don't care about your pets only money!. NEVER use them!