I was a patient of Dr. Mignacca for over 15 years. After all those years of being a regular patient and investing my time and money with him, he refused to offer me a payment arrangement for a major dental procedure I need done. I am now missing a tooth and Dr. Mignacca has been very unsympathetic towards my situation. When his practice was smaller, he was sympathetic and caring. He no longer seems driven by care - he is now driven by money. I wish I would have known this years ago so that I would not have invested in a dentist who left me high and dry when I needed him the most. I sure hope other people do not make the same mistake I made.