| LCA CASE NUMBER | I-200-20266-839864 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-22 |
| DECISION DATE | 2020-09-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KAMLESH JINJUWADIA DDS, INC |
| TRADE NAME DBA | EAST BAY DENTAL GROUP |
| EMPLOYER ADDRESS1 | 3500 MOWRY AVE |
| EMPLOYER ADDRESS2 | SUITE A |
| EMPLOYER CITY | FREMONT |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94538 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15108189000 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | JINJUWADIA |
| EMPLOYER POC FIRST NAME | KAMLESH |
| EMPLOYER POC JOB TITLE | CEO - DENTIST |
| EMPLOYER POC ADDRESS1 | 3500 MOWRY AVE |
| EMPLOYER POC ADDRESS2 | SUITE A |
| EMPLOYER POC CITY | FREMONT |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94538 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15104189325 |
| EMPLOYER POC EMAIL | KAMLESH9297@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SHARMA |
| AGENT ATTORNEY FIRST NAME | SONAL |
| AGENT ATTORNEY ADDRESS1 | 42 BROADWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 1548 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12124069257.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DEBORAH@JNATTORNEY.COM |
| LAWFIRM NAME BUSINESS NAME | Jethmalani & Nallaseth PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3500 MOWRY AVE |
| WORKSITE ADDRESS2 | SUITE A |
| LCA CASE WORKLOC1 CITY | FREMONT |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94538 |
| LCA CASE WAGE RATE FROM | 170250.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 129979.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
