| LCA CASE NUMBER | I-200-19120-167041 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-04-30 |
| DECISION DATE | 2019-05-06 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-06-01 |
| EMPLOYMENT END DATE | 2022-05-31 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL INC. |
| EMPLOYER ADDRESS | 4512 PARNELL AVENUE |
| EMPLOYER CITY | FORT WAYNE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46825 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2603991333 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | KELLIELEGO |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | MD |
| LCA CASE JOB TITLE | ASSOCIATE DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 1 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | FORT WAYNE |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46825 |
| WILLFUL VIOLATOR | False |
