| LCA CASE NUMBER | I-200-23243-312342 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-31 |
| DECISION DATE | 2023-09-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist-General |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pandya Professional Dental Corporation |
| TRADE NAME DBA | Smilepro Dental |
| EMPLOYER ADDRESS1 | 8014 N Lower Sacramento Road |
| EMPLOYER ADDRESS2 | Suite B and C |
| EMPLOYER CITY | Stockton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12094511133 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Pandya |
| EMPLOYER POC FIRST NAME | Sunen |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 8014 N Lower Sacramento Road |
| EMPLOYER POC ADDRESS2 | Suite B and C |
| EMPLOYER POC CITY | Stockton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12094511133 |
| EMPLOYER POC EMAIL | sunenp@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Baxley |
| AGENT ATTORNEY FIRST NAME | Shirley |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 130 Magnolia Point Drive |
| AGENT ATTORNEY CITY | Columbia |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29212 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17143288090 |
| AGENT ATTORNEY EMAIL ADDRESS | shirley.baxley@sbcglobal.net |
| LAWFIRM NAME BUSINESS NAME | Shirley's Immigration Service |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8014 N Lower Sacramento Road |
| WORKSITE ADDRESS2 | Suite Band C |
| LCA CASE WORKLOC1 CITY | Stockton |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95210 |
| LCA CASE WAGE RATE FROM | 113610 |
| LCA CASE WAGE RATE TO | 115000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113610 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Baxley |
| PREPARER FIRST NAME | Shirley |
| PREPARER BUSINESS NAME | Shirley's Immigration Services |
| PREPARER EMAIL | shirley.baxley@sbcglobal.net |
