This review is for anyone considering Dr. Jose Acosta. I am an American living in the USA, a business owner, and usually would never write a review about an establishment. I can personally say that he is worth a trip to Ecuador for your dental needs. Not only did I save a lot of money, but he is genuinely caring and does great work. I saved around $7,000, which includes the other issues I had going on that the American dentist did not even see. And on top of all that, he is just a really cool guy and if you do not speak Spanish he speaks very good English. So seriously, jump on a plane, get your dental work done and take a vacation cheaper than you could just do the dental work in the States for. And yes, his facility is very professional.