The physician assistant is very rude and condescending. She gets a big fat zilch for people skills. Will not go back if I have to communicate with her on any level. When I told her that I wanted to first research my options for removing pre cancerous cells on my face, she was very rude. She asked me to return for followup in 3 months. I noted that I would have my decision regarding treatment then, then she snidely remarked. "I hope so, you should have time to write a thesis by then " Maybe she is trying to be funny but it comes across as being quite rude. Dr. Bettencourt is okay. Does not really have time for questions. Will likely look for another dermatologist. I do not recommend this Dr. office. And yes the wait time can be quite long. Maybe that is why they turn out the lights in the waiting room, to allow you to take a long nap while waiting and waiting...