| LCA CASE NUMBER | I-200-23222-255685 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-10 |
| DECISION DATE | 2023-08-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-18 |
| END DATE | 2026-09-17 |
| 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 | IMPACT DENTAL SERVICES PLLC |
| EMPLOYER ADDRESS1 | 9439 LORTON MARKET ST |
| EMPLOYER CITY | Lorton |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22079 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17039526600 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Dhillon |
| EMPLOYER POC FIRST NAME | Navneet |
| EMPLOYER POC JOB TITLE | Member |
| EMPLOYER POC ADDRESS1 | 9439 Lorton Market St |
| EMPLOYER POC CITY | Lorton |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22079 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17039526600 |
| EMPLOYER POC EMAIL | admin@impactdentalcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kulikowska |
| AGENT ATTORNEY FIRST NAME | Mariana |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino del Rio S |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192999600 |
| AGENT ATTORNEY EMAIL ADDRESS | mariana@feldmanfeldman.com |
| LAWFIRM NAME BUSINESS NAME | Feldmand Feldman & Associates, PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9439 Lorton Market St. |
| LCA CASE WORKLOC1 CITY | Lorton |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22079 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100734 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
