| LCA CASE NUMBER | I-200-17340-201863 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 12/6/17 |
| DECISION DATE | 12/12/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/15/17 |
| EMPLOYMENT END DATE | 12/14/20 |
| LCA CASE EMPLOYER NAME | WESTERN DENTAL SERVICES INC. |
| EMPLOYER ADDRESS | 530 S. MAIN STREET |
| EMPLOYER CITY | ORANGE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92868 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7145713138 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SCHECHTER, NIELY |
| AGENT ATTORNEY CITY | WALNUT CREEK |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | ORTHODONTIST |
| SOC CODE | 29-1023 |
| SOC NAME | ORTHODONTISTS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 112.00 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 120.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | RIALTO |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92376 |
