| LCA CASE NUMBER | I-200-19269-799551 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-26 |
| DECISION DATE | 2019-10-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PERIODONTIST |
| SOC CODE | 29-1029 |
| SOC TITLE | DENTISTS, ALL OTHER SPECIALISTS |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-10-01 |
| END DATE | 2022-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PAUL J. EZZO, D.D.S., PH.D., PLLC |
| TRADE NAME DBA | DENTAL IMPLANT SURGERY CENTER |
| EMPLOYER ADDRESS1 | 7965 CUSTER RD. |
| EMPLOYER ADDRESS2 | SUITE 114 |
| EMPLOYER CITY | PLANO |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9725274967 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | SEIDL |
| EMPLOYER POC FIRST NAME | KARLA |
| EMPLOYER POC JOB TITLE | MANAGER |
| EMPLOYER POC ADDRESS1 | 7965 CUSTER RD. |
| EMPLOYER POC ADDRESS2 | SUITE 114 |
| EMPLOYER POC CITY | PLANO |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 3028977096 |
| EMPLOYER POC EMAIL | MANAGER@DISCOFPLANO.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ALEC |
| AGENT ATTORNEY FIRST NAME | ALEC |
| AGENT ATTORNEY ADDRESS1 | 380 NORTH 200 WEST |
| AGENT ATTORNEY ADDRESS2 | SUITE 209 |
| AGENT ATTORNEY CITY | BOUNTIFUL |
| AGENT ATTORNEY STATE | UT |
| AGENT ATTORNEY POSTAL CODE | 84010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 8018036497.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ACANNON@MCGREGORFIRM.COM |
| LAWFIRM NAME BUSINESS NAME | MCGREGOR & OBLAD PLLC |
| STATE OF HIGHEST COURT | UT |
| NAME OF HIGHEST STATE COURT | UTAH SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7965 Custer Rd. |
| WORKSITE ADDRESS2 | Suite 114 |
| LCA CASE WORKLOC1 CITY | Plano |
| WORKSITE COUNTY | Collin |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75025 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | V |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
