| LCA CASE NUMBER | I-200-19065-872257 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2019-03-26 |
| DECISION DATE | 2019-10-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PEDIATRIC DENTIST (PEDODONTIST) |
| SOC CODE | 29-1029 |
| SOC TITLE | DENTISTS, ALL OTHER SPECIALISTS |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-09-07 |
| END DATE | 2022-09-06 |
| 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 | SPRINGFIELD KIDS' DENTIST, LLC |
| EMPLOYER ADDRESS1 | 5895 MAIN STREET |
| EMPLOYER CITY | SPRINGFIELD |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97478 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5416544996 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | CAMPBELL |
| EMPLOYER POC FIRST NAME | ERIC |
| EMPLOYER POC JOB TITLE | GROUP ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 5895 MAIN STREET |
| EMPLOYER POC CITY | SPRINGFIELD |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97478 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 5419795757 |
| EMPLOYER POC EMAIL | ERIC@SPRINGFIELDKIDSDENTIST.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | TEUTA |
| AGENT ATTORNEY FIRST NAME | TEUTA |
| AGENT ATTORNEY MIDDLE NAME | VEIZAJ |
| AGENT ATTORNEY ADDRESS1 | 1342 CAPITOL STREET NE |
| AGENT ATTORNEY CITY | SALEM |
| AGENT ATTORNEY STATE | OR |
| AGENT ATTORNEY POSTAL CODE | 97301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 5033639903.0 |
| AGENT ATTORNEY EMAIL ADDRESS | TEUTA@IMMIGRATIONOREGON.COM |
| LAWFIRM NAME BUSINESS NAME | HECHT & NORMAN, LLP |
| STATE OF HIGHEST COURT | OR |
| NAME OF HIGHEST STATE COURT | OREGON SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5895 Main Street |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | Lane |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97478 |
| LCA CASE WAGE RATE FROM | 94.46 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 94.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
