| LCA CASE NUMBER | I-200-22029-863399 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-29 |
| DECISION DATE | 2022-02-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-07 |
| END DATE | 2025-02-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | YUJIA YAO DDS, INC. |
| TRADE NAME DBA | Captain Dental |
| EMPLOYER ADDRESS1 | 1670 Westwood Dr |
| EMPLOYER ADDRESS2 | Ste J |
| EMPLOYER CITY | San Jose |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95125 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16263249037 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | YAO |
| EMPLOYER POC FIRST NAME | Yujia |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1670 Westwood Dr |
| EMPLOYER POC ADDRESS2 | Ste J |
| EMPLOYER POC CITY | San Jose |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95125 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16263249037 |
| EMPLOYER POC EMAIL | admin@captaindental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SHEN |
| AGENT ATTORNEY FIRST NAME | Nan |
| AGENT ATTORNEY ADDRESS1 | 1879 Lundy Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 136 |
| AGENT ATTORNEY CITY | San Jose |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14083735965 |
| AGENT ATTORNEY EMAIL ADDRESS | info@nanshenlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Nan Shen |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1670 Westwood Dr |
| WORKSITE ADDRESS2 | Ste J |
| LCA CASE WORKLOC1 CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95125 |
| LCA CASE WAGE RATE FROM | 124800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 115357 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
