I have two dogs, both labs, I've been going here for annual check-ups, shots and to get my flea/tick medicine and heart worm pills since I moved to Apex in 2009. The office is clean, the location is convenient and the staff is friendly. On my most recent visit they found a lump (fatty tumor) on one of my dogs, so we scheduled the surgery, they removed it, examined it and it turned out to be benign. Could have been a big deal, but was a pretty straightforward experience, they communicated well what to expect and made it happen. Recommend.