My three daughters and I are patients, and we were referred by my parents (three generations of my family love this office!).
My daughter had a few cavities when she was pretty young, and they were superb in handling the treatment, making her (and me!) comfortable, and with follow-up care.
I moved away, and recently moved back, and am excited to be a patient again. My girls always complained the other dentists "weren't Dr. Liljas".
Cost is reasonable, insurance knowledge and help is A+++, and I would (and did many times!) recommend Dr. Liljas and his office staff to anyone in Puyallup (and surrounding cities...worth a drive).
About Hygienist: Always friendly, always thorough (and great with kids and adults). Very patient oriented, but still do great work.