I have been going to McDowell Dentistry for quite a few years now. I used to really like my hygienist but she left a while ago and I just kept going even thought I was not crazy about Dr Ayoub. He recently was going to pull a tooth that when I had a second opinion on was told "who would pull a perfectly good tooth". It only needed a root canal. But he will send you away with estimates for implants and bridges before even pulling it just to stop your pain. NO WAY would I ever go back.