| LCA CASE NUMBER | I-200-23080-865207 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-21 |
| DECISION DATE | 2023-03-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist (21750.1.4) |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-01 |
| END DATE | 2026-08-31 |
| 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 | Bliss Dental-Midland, PLLC |
| EMPLOYER ADDRESS1 | 4400 N Midkiff |
| EMPLOYER ADDRESS2 | Suite A-1 |
| EMPLOYER CITY | Midland |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79705 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14327891021 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Koh |
| EMPLOYER POC FIRST NAME | Jonathan |
| EMPLOYER POC JOB TITLE | Counsel |
| EMPLOYER POC ADDRESS1 | 2403 Lacy Lane |
| EMPLOYER POC CITY | Carrollton |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75006 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19728693789 |
| EMPLOYER POC EMAIL | jkoh@mb2dental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cruz |
| AGENT ATTORNEY FIRST NAME | Kristine |
| AGENT ATTORNEY ADDRESS1 | 2400 N. Glenville Drive, Building A |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Richardson |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75082 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14695052343 |
| AGENT ATTORNEY EMAIL ADDRESS | kcruz@bal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4400 N Midkiff |
| WORKSITE ADDRESS2 | Suite A-1 |
| LCA CASE WORKLOC1 CITY | Midland |
| WORKSITE COUNTY | MIDLAND |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79705 |
| LCA CASE WAGE RATE FROM | 157123 |
| LCA CASE WAGE RATE TO | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 157123 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Steinmetz |
| PREPARER FIRST NAME | Zachary |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP |
| PREPARER EMAIL | zsteinmetz@bal.com |
