The office of Dr. James Spalenka, DDS.MODERN, COMFORTABLE STATE-OF-THE ART Dentistry And nearly 15% of people avoid the dentist due to cost, anxiety or fear.Dr. Spalenka helps patients every day overcome dental avoidance by providing a comfortable, gentle, convenient dental experience to the Rancho Bernardo community. Combining the most modern technology in dentistry today with 30+ years of experience.