| LCA CASE NUMBER | I-200-18072-336420 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/13/18 |
| DECISION DATE | 3/19/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/10/18 |
| EMPLOYMENT END DATE | 9/9/21 |
| LCA CASE EMPLOYER NAME | FOREST COSMETIC & FAMILY DENTISTRY PLLC |
| EMPLOYER ADDRESS | 3608 FOREST DR. SUITE 1 |
| EMPLOYER CITY | ALEXANDRIA |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7038325615 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SHEPHERD, TASANEEYA |
| AGENT ATTORNEY CITY | PORTLAND |
| AGENT ATTORNEY STATE | OR |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 125,362.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 125,362.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | ALEXANDRIA |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22302 |
