Dr. Toppi has a wonderful bedside manner and he and the hygienists are great at working with kids who are nervous about seeing the dentist. They let me hold my kids on my lap while doing the exam and don't force them to do more than they can handle. I have been a loyal customer for 3 years taking my 6 year old and 3 year old. I am giving only 2 stars because I am so disappointed with my last experience. I missed an appointment, it was my fault because I had a crazy day and it completely slipped my mind. The receptionist called 15 minutes later saying my kids missed their appointment. I apologized and asked to reschedule. The receptionist sounded aggressive and said my kids were not welcome back unless I paid a $75 cancellation fee for each of them. Before I could even respond she hung up the phone. After 3 years of taking both my kids here and never missing an appointment, I think this is pretty excessive. There are many great children's dentists in San Diego and many that would not charge such a large fee or drop patients so easily.