When we first moved here we went to the closest animal hospital in the northwest, Centennial Hills. Boy, was that a mistake. After almost losing a dog, my son recommended Creature Comforts. They treat you & your pets as if they are theirs. They always give you options. I have never been forced to do any procedure that wasn't necessary. Coming from CA, I know about heartworm. I was the one who insisted they write a script for my dogs. Now, after 9 years, heartworm is a problem in NV. Teeth do need to be cleaned, if they get infected, your pet really could die. I have had 4 senior dogs & am now going thru puppy stages with two new dogs & Creature Comforts doctors & staff are the only one I would trust them with.