| LCA CASE NUMBER | I-200-22095-038962 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-05 |
| DECISION DATE | 2022-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NORTHWEST DENTAL ASSOCIATES, P.C. |
| EMPLOYER ADDRESS1 | 100 SPECTRUM CENTER DRIVE |
| EMPLOYER ADDRESS2 | SUITE 1500 |
| EMPLOYER CITY | IRVINE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92618 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17148245009 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Armenta |
| EMPLOYER POC FIRST NAME | Kristin |
| EMPLOYER POC JOB TITLE | Sr. Manager, Recruitment Operations |
| EMPLOYER POC ADDRESS1 | 100 Spectrum Center Drive |
| EMPLOYER POC ADDRESS2 | Suite 1500 |
| EMPLOYER POC CITY | Irvine |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92618 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17144281379 |
| EMPLOYER POC EMAIL | Kristin.Armenta@smilebrands.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wu |
| AGENT ATTORNEY FIRST NAME | Tiffany |
| AGENT ATTORNEY MIDDLE NAME | Chang |
| AGENT ATTORNEY ADDRESS1 | 18401 Von Karman Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 255 |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19492610209 |
| AGENT ATTORNEY EMAIL ADDRESS | llong@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4655 SW Griffith Drive |
| WORKSITE ADDRESS2 | Suite 105 |
| LCA CASE WORKLOC1 CITY | Beaverton |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97005 |
| LCA CASE WAGE RATE FROM | 134722 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 131914 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Wu |
| PREPARER FIRST NAME | Tiffany |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen, & Loewy, LLP |
| PREPARER EMAIL | llong@fragomen.com |
