| LCA CASE NUMBER | I-200-23024-721758 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-23 |
| DECISION DATE | 2023-01-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-02-03 |
| END DATE | 2026-02-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PDG, PA |
| TRADE NAME DBA | PARK DENTAL GROUP |
| EMPLOYER ADDRESS1 | 2200 COUNTY ROAD C WEST |
| EMPLOYER CITY | ROSEVILLE |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55113 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16517462825 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | FISHER |
| EMPLOYER POC FIRST NAME | KIMBERLY |
| EMPLOYER POC MIDDLE NAME | SUSAN |
| EMPLOYER POC JOB TITLE | DIRECTOR OF DOCTOR RECRUITMENT |
| EMPLOYER POC ADDRESS1 | 2200 COUNTY ROAD C WEST |
| EMPLOYER POC ADDRESS2 | SUITE 2210 |
| EMPLOYER POC CITY | ROSEVILLE |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55113 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16517462825 |
| EMPLOYER POC EMAIL | KFISHER@PARKDENTAL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WILSON |
| AGENT ATTORNEY FIRST NAME | DAVID |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 3019 MINNEHAHA AVE |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55406 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124367100 |
| AGENT ATTORNEY PHONE EXT | 7112 |
| AGENT ATTORNEY EMAIL ADDRESS | DWILSON@WILSONLG.COM |
| LAWFIRM NAME BUSINESS NAME | WILSON LAW GROUP LLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | MN SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10150 CITY WALK DRIVE |
| LCA CASE WORKLOC1 CITY | WOODBURY |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55129 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE TO | 145000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104374 |
| 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 | WILSON |
| PREPARER FIRST NAME | DAVID |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | WILSON LAW GROUP |
| PREPARER EMAIL | DWILSON@WILSONLG.COM |
