| LCA CASE NUMBER | I-200-18005-565273 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/5/18 |
| DECISION DATE | 1/11/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/8/18 |
| EMPLOYMENT END DATE | 1/8/21 |
| LCA CASE EMPLOYER NAME | KOOL SMILES VAN, PC |
| EMPLOYER BUSINESS DBA | KOOL SMILES |
| EMPLOYER ADDRESS | 1090 NORTHCHASE PARKWAY SE, SUITE 150 |
| EMPLOYER CITY | MARIETTA |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30067 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7709165023 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SCOFIELD, EILEEN |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| LCA CASE JOB TITLE | SPECIALIST ORAL SURGEON |
| SOC CODE | 29-1022 |
| SOC NAME | ORAL AND MAXILLOFACIAL SURGEONS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 145.10 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 250.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | RICHMOND |
| WORKSITE COUNTY | RICHMOND CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23224 |
