Request An Appointment

Fill out the form below to request an appointment with Dr. Baseri at Smile Recreation, and let us know how we can make you smile!

Name *
Name
Phone Number *
Phone Number
Requested Appointment Date (OPT.)
Requested Appointment Date (OPT.)

 

Our Office:

6221 Wilshire Blvd. Suite #517
Los Angeles, CA 90048