Achieving dental wellness – awake, asleep or between
Moses Lake, WA
Our Providers

Eugene Pester DDS, FADSA
Dr. Pester is uniquely qualified for his current role as a Dentist Anesthesiologist at Apex Sleep Dentistry. Between dental school and anesthesia residency, Dr. Pester founded both a private dental practice and a publicly supported Community Dental clinic. This experience allows him to be very comfortable with a wide range of patient type as well as providing anesthesia for broad range of dental services.
After completing a hospital-based anesthesia residency, Dr. Pester established and sold both an office based anesthesia (OBA) dental practice and a fully certified dental ambulatory surgical center (ASC). He maintained the mobile anesthesia practice, Apex Anesthesia Services.
Dr. Pester is proud that all the practices listed above are still actively treating patients and serving their intended missions. The knowledge that Dr. Pester acquired establishing these diverse practices has given him an expertise in the intersection of dentistry and anesthesia as well as the intersection of private and publicly funded healthcare that is rare.
Whether you are a dentist looking for a better way to treat patients or a patient looking for a better way to be treated by your dentist, Dr. Pester and Apex Sleep Dentistry look forward to serving you.
PROFESSIONAL EXPERIENCE
- Dental School: Loma Linda University, School of Dentistry
- Dental Anesthesiology Residency: Loma Linda University Medical Center, Loma Linda, California
- Former Instructor: Dental Organization for Conscious Sedation (DOCS)
CERTIFICATIONS & AFFILIATIONS
- Diplomat National Board Dental Anesthesiology
- Advanced Cardiac Life Support Certified
- Pediatric Advanced Life Support Certified
- Fellow American Dental Society of Anesthesiology
- American Society of Dentist Anesthesiologists

Nicholas Smith, DDS
Dr. Smith was born in High Point, NC and resided there until his early teenage years when he moved from North Carolina to Pocatello, ID. After serving a two-year religious mission to
Richmond, VA, he attended Idaho State University and graduated with a B.S. in Biology with an emphasis on biomedical sciences. Dr. Smith then continued his education and graduated as a Doctor of Dental Surgery from Creighton University in Omaha, NE. Dr. Smith is coming to Moses Lake from small town Hailey, Idaho; where he has been practicing the past several years. While practicing dentistry, Dr. Smith’s goal is to help others have a heathy smile and be able to enjoy all the foods the world has to offer.
Outside of the dental office, Dr. Smith has a passion for sports and competition – an affinity that was cultivated from years of playing baseball. Now Dr. Smith satisfies his love for sports
vicariously as he watches baseball, basketball, and football. When not caring for patients, Dr. Smith can be found exercising at a local gym or spending time with friends and family. Dr. Smith loves a variety of different foods and enjoys trying out new restaurants.
Our Team

Madeline Kosa
I was born in Ephrata Washington and found my passion for dentistry right out of high school. I have been in the dental field for the last 6 years. Recently I have decided to further my education and career to become an Expanded Function Dental Auxiliary. I love helping people find their true smile and promote good oral hygiene! I enjoy being able to no only help but connect with our patients. My husband and I love to spend time with our families and our 3 dogs. In our spare time we love to go camping, hunting and fishing. I love being a part of MLDG and contributing to their amazing team!

Brenda Zuniga
Dental Assistant
I was born in Guerrero, Mexico but grew up in Warden, Washington, I have my medical assisting license that I earned from the Perry Technical Institute in Yakima, WA. I was working as a medical assistant for 5 years and during that time I attended EMT school at Columbia Basin College in Pasco, WA. I later decided to switch career pathways into the dental field, which I now LOVE. My passion is patient advocacy. My goal is to make sure all our patients feel heard and cared for with every individuals needs and experience. On my spare time I like to go fishing, hiking, and camping with family and friends. I also spend lots of time with my puppy Remi and enjoy supporting my boyfriend with and his MMA events.

Yvonne Zamora
Scheduling Coordinator/ Dental Assistant
Hello everyone! My name is Yvonne and I have been growing in the dental field for the last 10 years. Currently I have take a roll with the front office here at MLDG as a scheduling coordinator but also support clinical as a dental assistant. I enjoy helping people achieve their goals to having a healthy and beautiful smile and making sure they feel comfortable making that first call to our office or assisting them while in the dental chair. In my free time I enjoy the outdoors hiking, snowboarding or being with family.

Katerina Nakonechnyy
Dental Assistant
Hello, I’m Katerina, a dental assistant dedicated to making your dental experience an exceptional one! I started my journey in the dental field in 2023, I thrive on the joy of helping out others and have a genuine love for my work. I was raised in Moses Lake within a family of 16. I bring a warm and caring approach to our dental practice. Being fluent in Ukrainian, I’m thrilled to serve our diverse community. Outside of the office you will find me enjoying skiing, embracing the water through swimming I also love indulging in my passion for baking. I’m excited to meet you and make your dental visits comfortable and your smiles radiant.

Shantel Palmisano
Financial Coordinator
I recently moved to this area and started working at Moses Lake Dental Group over a year now. I love working with our patients to financially prepare and plan their dental experience. The best part is being able to make connections with all of our patients. I have four amazing grown children and recently got engaged! Me and my fiancée love to go boating every weekend during the summer time at the lakes in the area. Winter season we love to travel to areas with more warmth and sunshine.

Esmeralda Perez
Front Office Patient Care Coordinator
Hi everyone! My name is Esmeralda and I am the Front office patient care coordinator here at MLDG. I was born and raised in Othello, WA. My Goal in the office is to do my best in meeting all of our patients needs the best way I can if that means at the front desk, on the phone, or supporting our clinical staff. I am fluent in English and Spanish and that has helped in creating some incredible connections with our patient support and understanding. At home I have an adorable yorkie named Olive. Most of my time is spent creating memories with my loved ones and sketching fashion designs. Moses Lake Dental Group has become a family for me and I strive to create that same experience for everyone of our patients.