| LCA CASE NUMBER | I-200-20120-526106 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-04-28 |
| DECISION DATE | 2020-06-08 |
| ORIGINAL CERT DATE | 2020-05-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Independent Contractor Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-15 |
| END DATE | 2023-05-15 |
| 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 | Mbarakzoy DDS Inc |
| EMPLOYER ADDRESS1 | 38056 Martha Ave |
| EMPLOYER CITY | Fremont |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94536 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15105059409 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Barakzoy |
| EMPLOYER POC FIRST NAME | Mostafa |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 38056 Martha Ave |
| EMPLOYER POC CITY | Fremont |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94536 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15105059409 |
| EMPLOYER POC EMAIL | mbarakzoydds@sbcglobal.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Abdullah |
| AGENT ATTORNEY FIRST NAME | Hasan |
| AGENT ATTORNEY ADDRESS1 | 39159 Paseo Padre Pkwy |
| AGENT ATTORNEY ADDRESS2 | Suite 310 |
| AGENT ATTORNEY CITY | Fremont |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94538 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15105001155.0 |
| AGENT ATTORNEY EMAIL ADDRESS | hasan@usavisalaw.com |
| LAWFIRM NAME BUSINESS NAME | American Visa Law Group |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 38056 Martha Ave |
| LCA CASE WORKLOC1 CITY | Fremont |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94536 |
| LCA CASE WAGE RATE FROM | 144000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132746.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
