| LCA CASE NUMBER | I-200-23011-693905 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-10 |
| DECISION DATE | 2023-01-17 |
| 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 | 2023-07-05 |
| END DATE | 2026-07-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Signature Smile Dental LLC |
| EMPLOYER ADDRESS1 | 1212 Veterans Highway, Suite A1 |
| EMPLOYER CITY | Bristol |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19007 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12158740407 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Kalpesh |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1212 Veterans Highway, Suite A1 |
| EMPLOYER POC CITY | Bristol |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19007 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12158740407 |
| EMPLOYER POC EMAIL | kalpeshny1212@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khan |
| AGENT ATTORNEY FIRST NAME | Sheeba |
| AGENT ATTORNEY ADDRESS1 | 23023 Orchard Lake Road |
| AGENT ATTORNEY ADDRESS2 | Bldg. A2 |
| AGENT ATTORNEY CITY | Farmington |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48336 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488880201 |
| AGENT ATTORNEY EMAIL ADDRESS | sheeba@khanlaw.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF SHEEBA KHAN PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1212 Veterans Highway, Suite A1 |
| LCA CASE WORKLOC1 CITY | Bristol |
| WORKSITE COUNTY | BUCKS |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19007 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107640 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Khan |
| PREPARER FIRST NAME | Sheeba |
| PREPARER BUSINESS NAME | Law offices of Sheeba Khan PLC |
| PREPARER EMAIL | sheeba@khanlaw.com |
