The real reason for this picture is the power lines. Abundant overhead lines is one of the obvious signs that you've crossed the border.
Dr. Maria Fonseca had been recommended by friends and friends of friends. I also looked into another dentist in a nearby town that was recommended, but that dentist didn't respond to an e-mail query while Dr. Fonseca did.
My local dentist had recommended an extraction, bone graft, and then a bridge. The only problem was that the price they wanted did not include a deed to the Brooklyn bridge, but should have given their prices.