I have never bought a cake before in my life, so to be honest, I don't even know who I'm supposed to go to! So I guess this is a two part question.
1) Who do I go to to make a custom made cake?
2) How much would the cake below cost?
The cake is for my girlfriend, who just got into dental school this week. Thanks, and happy holidays!
Here is a picture: http://farm3.static.flickr.com/2776/4540922186_d7d81bae4c.jpg