My experience at Vanguard has been consistently excellent. Dr. Shapiro and his team are incredible. The administrative staff was very courteous at my very first appointment, office was clean, and it smelled nice. I had some difficult skin issues and had seen many dermatologists before Dr. Shapiro, but he diagnosed everything that was going on, and began proper treatments. I've needed to return to see Dr. Shapiro for several scheduled follow-ups so he could keep an eye on my progress, but everything is resolving nicely now and his staff have been so kind and accommodating with me. Its a wonderful feeling to know you can TRUST a doctor. I'm so grateful for his services.