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    Karwoski Douglas, DDS

    4.0 (4 reviews)
    Closed Closed

    Services - Karwoski Douglas, DDS

    Cavity treatment

    Dental exams

    Tooth filling replacement or repair

    Karwoski Douglas, DDS Photos

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    Dayton Valley Dental Care

    Dayton Valley Dental Care

    4.1(18 reviews)
    0.7 mi

    Timely appointment and professional staff and dentist. Explained what was occurring during the…read moreprocedure and ensured I was comfortable with the final result.

    I should've put this review in earlier but better late than never. I needed to utilize my Dental…read moreInsurance before the year was out and found a Dentist named Julio E. Escobar at this facility. I called and spoke to a nice girl named Ally and she scheduled me in fast for X-rays & a Complete Exam in 2 weeks. She said she would check for a cancellation and schedule me for my Cleaning. When I got to the office for my appointment the staff said I could have my Cleaning done that day and not have to come back in on another date . X-rays were done right in my dental chair with the new technology they have and they went well. Then I met the Julio R. Escobar the Dentist to give me my Complete Exam. He was very nice and I liked him. He found a small cavity and said it wouldn't take very long to fill. Then I had my Cleaning and the Dental Hygienist was very nice and did a good & careful job cleaning my teeth. She even gave me a Fluoride Treatment. Afterwards, Ally said I could come back to the office in only 5 days to have my cavity filled. I came back for my next appointment and Julio did a professional & painless job in taking care of my cavity. I am very happy with the nice & helpful staff (Ally & Sarah), the good Dental Assistant (Maritza), the pleasant Dental Hygienist (Kristin), & Julio E.Escobar the Dentist! Thank GOD for helping me find them!

    Coombs & Brewer - Did you know Dr. Ryan Coombs is a Native Nevadan, his father practiced Ortho right upstairs for over 30 years.

    Coombs & Brewer

    4.8(76 reviews)
    12.6 mi
    Locally owned & operated
    Family-owned & operated

    I can't believe I'm saying going to the dentist was a wonderful experience but considering I have…read moreput off dental visits for a very, very long time. I'm so happy that I went. I needed a long overdue cleaning, and the dental hygienist was kind, informative, and gentle. I was so scared when I went in and she put me at ease and did an excellent job. Yup, I will be coming back.

    April 1, 2025 I started my journey of lower mouth reconstruction. I have been struggling with my…read morebottom teeth for many years. I can't tell you how many times Dr Coombs had to come in his office on weekends and other late appointments because my permanent bottom bridge came off and he had to re-cement it The last time I was sitting in his office on a Saturday after he just got back from Lake Tahoe. We had a heart-to-heart discussion and he told me it was time to take action. So it began, 10 months of treatment procedures, and all kinds of handholding and Support. Dr. Coombs is not only a very gifted and talented dentist, but he is one of the kindest and most compassionate dental providers you could ever meet. He and his wife, Dr. Brewer are the perfect team, if it's possible to have enjoyable dentistry, believe me they make it like that. Their Staff is amazing my hygienist Gina Spence has been cleaning my teeth for 23 years, that's how long I have been with this practice, finally, I have completed the process and now I just have a few adjustments, but my teeth are gorgeous. Thank you, Dr. Coombs for being with me on this long journey, I don't think I could have gone through this without your kindness and support and friendship.

    Photos
    Coombs & Brewer - Meet one of our fantastic hygienist...Rhonda. She has been with us for a long time absolutely has the best compassion for her patient.

    Meet one of our fantastic hygienist...Rhonda. She has been with us for a long time absolutely has the best compassion for her patient.

    Coombs & Brewer - Loving her smile after a routine cleaning.

    Loving her smile after a routine cleaning.

    Coombs & Brewer - Our wonderful hygienist Gina taking good care of our awesome patient.

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    Our wonderful hygienist Gina taking good care of our awesome patient.

    Sierra Smiles - Dr. John Bocchi

    Sierra Smiles

    4.4(36 reviews)
    27.9 mi

    I'm genuinely disappointed to have to write this review after 15 years as a patient, but this…read moreexperience was unacceptable and, frankly, the final straw. Without any effort from your office to hear my account or offer even a basic acknowledgment of what occurred, I feel forced to document the facts here. This is part of a broader pattern that reflects a consistent and significant decline in professionalism and patient care. Your recent letter shaming me was despicable, short-sighted and indefensible, and only reinforced how unprofessional and poorly the office is now being managed. Since the departure of Dr. Lusby, a skilled, kind, and exemplary dentist, the practice has deteriorated from the inside out. What was once a patient-focused environment now feels impersonal, transactional, and driven by aggressive upselling just like a used car sales lot. My most recent interaction with your new dental hygienist (apx. 60 y/o, blonde - I was not given her name) was deeply unprofessional and rude. To characterize my behavior as disrespectful is simply untrue and clearly is projection. On the contrary, I remained calm and respectful throughout. Each visit increasingly feels less like healthcare and more like used-car sales lot. The constant pressure to purchase additional services like trays, molds, whitening treatments, unnecessary X-rays every visit, veneers, crowns, and costly memberships, is excessive, unwelcome, and inappropriate. I have never had a cavity, never needed braces, and have maintained consistent cleanings my entire life making me in the top 5 percentile of adults. On this particular day, I was scheduled only for a routine cleaning and polish, and I was clear that I was short on time. During the cleaning, the hygienist aggressively prodded my gums with a sharp instrument. I calmly asked her to "take it easy". Rather than adjusting, she became defensive and continued with increased force blaming it on my poor lack of care. Afterward, she proceeded to pitch two additional procedures, despite my earlier indication that I was only available for a clean and polish. When I politely declined one and said I would consider the other at a later time, she became visibly irritated. I chose not to engage in an argument and reiterated that I was there only for a cleaning and would seek a second opinion if needed. At that point, her behavior escalated dramatically... she abruptly stood up, threw her instrument down, and stormed out of the room, leaving me sitting there. After waiting a couple of minutes, I walked down the hall and calmly asked if she intended to complete the cleaning I had come in for. Her response was, "No. If you're not going to let me do my job, you can leave." When I clarified whether she was refusing to complete the scheduled cleaning I had come in for, she again told me to LEAVE. This came immediately after she had attempted to alarm me by claiming I had periodontal disease, sleep apnea and was a mouth breather. None of which are true as I previously completed a sleep study. Apparently now dental hygienists are allowed to give medical claims as an MD regarding areas of expertise they are not licensed for? Threatening me that I would lose all my teeth if I didn't act immediately, was the final straw. These claims were not only inconsistent with my lifelong dental history but were delivered in a manner that felt more like fear-based high-pressure sales tactics than legitimate medical guidance. Moreover, a second opinion from a different Dentist office confirmed I don't have Periodontitis. Shocking! The accusations in your letter, that I raised my voice (not close), arrived late (I was 4 minutes behind), disregarded staff time (actually disregarding mine), or improperly took photographs of office materials are inaccurate. The only photo taken was of the QR code displayed on your counter specifically for the purpose of leaving this review. Equally concerning is that neither of the dentists made any effort to contact me to discuss the situation or return my call. This lack of accountability stands in stark contrast to the excessive volume of automated emails, texts, and calls your office sends leading up to appointments, along with ongoing solicitations for raffles begging for more clients. It is also not surprising, in this context, that your office appears to have a revolving door of staff this I've gauged over the last decade shortly after Dr. Lusby's retirement. This practice has declined significantly, and I will no longer be a patient. I will also be transitioning my entire family elsewhere for dental care. Additionally, I will share this experience honestly with others, especially those new to the Tahoe area, so they can make informed decisions. I have never been treated with such disrespect. Furthermore, public acceptance here of facts and an apology from you and this dental hygienist would be the right thing to do. Let's see if you do.

    I was visiting for the week from out of town. I had a filling pop out the first night in town, they…read morewere able to get me in immediately. I'm the biggest pansy when it comes to needles and really just being anywhere near a doctor - I let them know and they made the whole procedure relaxing and they were amazing. I honestly would consider coming all the way up for my own appointments in the future! Thank you to the whole team, you all were GREAT!!!

    Photos
    Sierra Smiles - Dr. Samina Quidwai

    Dr. Samina Quidwai

    Sierra Smiles - Rayleen, our amazing hygienists

    Rayleen, our amazing hygienists

    Sierra Smiles - Treatment room

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    Treatment room

    Karwoski Douglas, DDS - endodontists - Updated August 2026

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