Excellent! I am going on every possible social network to share Dr. Vierra and staffs excellent level of service. Every aspect of this office is top-notch and exceptional. Specifically, my family (including my 9-year old daughter with Kabuki Syndrome and a brand new palate spacer) were recently vacationing in Seattle from Los Angeles. My daughter's palate spacer popped out at 7pm on a Friday. As I frantically tried to figure out a solution, I called every orthodontist in the area and left messages on their after hours answering machines. FROM MEXICO, ON VACATION, Dr. Vierra called back, put us at ease and made an appointment in his office first thing Monday morning. When we arrived, the staff was prepared for us. We barely sat 5 minutes in the waiting room before the caring and compassionate Dr. Vierra came to take us back to a room himself. 10 minutes later we were out the door, palate spacer replaced, and with a bag of goodies (pencil, toothbrush, and a custom palate spacer crank). We are incredibly picky especially when it comes to the medical care of our children. I 150% recommend Dr. Vierra's office! read more