| LCA CASE NUMBER | I-200-20163-647387 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-11 |
| DECISION DATE | 2020-06-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist--General |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Dental House Ann Arbor PLLC |
| TRADE NAME DBA | Dental House of Ann Arbor |
| EMPLOYER ADDRESS1 | 4860 Washtenaw Avenue |
| EMPLOYER ADDRESS2 | Ste D |
| EMPLOYER CITY | Ann Arbor |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17349999909 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Hrustic |
| EMPLOYER POC FIRST NAME | Melisa |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 4860 Washtenaw Avenue |
| EMPLOYER POC ADDRESS2 | Suite D |
| EMPLOYER POC CITY | Ann Arbor |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17349999909 |
| EMPLOYER POC EMAIL | melisa.hrustic@dentalhousemi.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Pierce |
| AGENT ATTORNEY FIRST NAME | Richard |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | 2000 Hogback Road |
| AGENT ATTORNEY ADDRESS2 | Suite 15 |
| AGENT ATTORNEY CITY | Ann Arbor |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17347699191.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rwp@piercelawoffice.com |
| LAWFIRM NAME BUSINESS NAME | Richard W. Pierce, PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4860 Washtenaw Avenue |
| WORKSITE ADDRESS2 | Ste D |
| LCA CASE WORKLOC1 CITY | Ann Arbor |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48108 |
| LCA CASE WAGE RATE FROM | 140000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132974.0 |
| 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 |
