Making an appointment is inconvenient (they are closed weekends/evenings). Dr. Tipton seems knowledgeable, but the techs provide most of the instruction and care during the visit. I was not allowed back with my puppy when the tech took him in the back for treatment. Waiting in the room, I could hear my puppy YELP in pain, and later saw that they had cut his nails too short (his paws were all bloody when they brought him back). I brought him to the vet and paid for a nail clipping to AVOID that experience! My puppy came in to the office happy, but left trembling, withdrawn & scared. Dr. Tipton did come into the room briefly, & did a decent physical assessment but had very little verbal interaction with me. It just irks me to pay for a minimally educated tech to assess my puppy & offer care advice. My puppy was uncomfortable around the vet and the techs. I 'm sure the vet is smart enough, but the "I care" component was missing. Just going through the motions, and charging a bundle. : (