I was referred to Dr. Makiyama about 4 years ago by a work mate after I was recommended to have 5 crowns done by my last dentist who said I would have infections within a year if they were not done. Dr. Makiyama gave me a second opinion and I've been a patient since. In the last last 4 years, other than a couple fillings, I've been problem and symptom free. He probably saved me several thousand dollars. Recommend? Already have.