I posted before my negative review and it was removed. Do not waste your money here. Doctor was very nice first trip to Costa Rica, came to pick me up where I was staying, made lots of unfulfilled promises for arrival for second treatment. He argued with his wife while I was on the table. They didn't take a mold of the tooth they were matching so now my implant looks nothing like my old tooth nor the tooth on other side. I was overcharged for Botox from the first time to the second. I asked for written documentation of treatments and invoice and I got a handwritten slip. I'd made an appointment in October for April, yet days before my arrival the dentist said he had to change the days because he was having surgery, instead it was that he scheduled another surgery on the same day as mine, though I'd prebooked my trip.
His wife was very sweet, but it was very sad and unsettling to hear the arguing while she was working on my mouth.
If you're going down for one trip, sure they will treat you like Kings, but if someone with more money wants a more expensive surgery, they will throw you to the side and not fulfill promises nor treatment.
I'd paid for and requested a retainer for my mouth which they completely forgot to make. I came all the way from the USA, and paid for the majority of treatment upfront, but still somehow forgot?
Don't trust them.
Also, don't tell them if you plan on visiting Nicaragua, because then they will go on and on about how the weather and people are bad.
Avoid at all costs and find a reputable de tist with good bedside manners.