CEREC-certified and IDIA-fellow Dr. Timothy R. Garofolo operates his Point Loma office at 2845 Nimitz Blvd, bringing implant-surgical and same-day-crown capability to the peninsula since completing residency at the San Francisco VA Medical Center in 2003. Galileos cone-beam CT imaging guides implant-fixture placement with sub-millimeter precision, and CEREC CAD/CAM milling produces same-day porcelain crowns that complement the traditional lab-fabrication timeline at Doris Fill, D.D.S. for patients who need multi-appointment restorations. His general-practice residency at the San Francisco VA trained him in oral surgery, endodontics, and prosthodontics alongside medically complex veteran populations, broadening his chairside surgical scope beyond standard dental-school preparation. A six-year tenure on MetLife's National Dental Advisory Council from 2008 to 2014 added insurance-system expertise, informing treatment-plan design that accounts for coverage realities. Invisalign clear-aligner therapy handles mild-to-moderate adult malocclusion without bracket hardware, and pre-aligner cases requiring premolar extraction link the orthodontic and surgical workflows through coordination with Becker Scott DDS on the peninsula. The most demanding procedures are full-arch implant-supported rehabilitations pairing CT-guided surgical placement with CEREC-milled prosthetics in a single practice.