Dr. Spedale's office is clean and the wait time is minimal. I would probably recommend this doctor if you are going in for some sort of elective or surgical procedure (e.g. fillers, botox, etc), since I suspect she will spend a lot more time with you. However, if a cosmetic procedure is not your medical goal then expect a very quick exam... followed by a suspected diagnosis (with no explanation as to what the diagnosis actually means) and a script with no explanation as to side effects, etc. The former is irritating, but the latter is borderline dangerous. She does give out quite a few samples (without asking if you've tried it before - just in case you've broken out in a rash before using the same) but it does not make up for the sloppy practice of medicine and that is why I cannot recommend Dr. Spedale.