Facilities are small, damp, and in dire need of a major overhaul. Equipment looks like it was purchased in the late '70s. I've had fillings and root cannals & crowns performed over the years. The pain is always excruciating and very rough handling proceedures. Hygienists are fair. Insurance help is fine and the front desk support is very good (without them, I suspect the practice would have shut down years ago).