We used this vet for the life of our beloved dog and received excellent care from puppyhood to her death. I have only downgraded slightly on price, because I think all vet services are shockingly expensive -- they are probably no more expensive than any other practice. We were consistently advised on proactive ways to keep our dog healthy, and when she developed cancer, we were compassionately given options with a no-guilt discussion of prices of options (3 kids in college!). Friends with a very sick dog changed to our vet, and he realized the previous vet had made an incorrect diagnosis and brought the dog back to health. Dr. Alt is wonderful, and the staff is friendly, efficient and caring.