We took our daughter here for a tooth extraction. We were told that she needed IV sedation in order for her to be brought in ASAP. If we went with local anestesia it would be a month before they could get her in. So basically, if you're willing to pay an extra 200 dollars, they'll bring you in right away. Our appt was at 12, she didn't even get to see the doctor until 3PM!!! She is under age, and they refused to allow her mom to be back there while she was "under". The dental assistant and the dentist were both very rude and disrespectful. If you have a choice, do not go here. I don't know how other Monarch dentals pan out, but do all you can to avoid this facility.