| LCA CASE NUMBER | I-200-20204-729446 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-22 |
| DECISION DATE | 2020-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | SUPERVISING PEDIATRIC DENTIST |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-12-22 |
| END DATE | 2023-12-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FORT BEND PEDIATRIC DENTISTRY PLLC |
| TRADE NAME DBA | KIDZONE DENTAL |
| EMPLOYER ADDRESS1 | 5819 HIGHWAY 6 |
| EMPLOYER ADDRESS2 | SUITE 210 |
| EMPLOYER CITY | MISSOURI CITY |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77459 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12814993275 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MANEA |
| EMPLOYER POC FIRST NAME | NICOLAE |
| EMPLOYER POC JOB TITLE | MANAGER |
| EMPLOYER POC ADDRESS1 | 5810 HIGHWAY 6 |
| EMPLOYER POC ADDRESS2 | SUITE 210 |
| EMPLOYER POC CITY | MISSOURI CITY |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77459 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12814993275 |
| EMPLOYER POC EMAIL | MANAGER@KIDZONEDENTAL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | MAKHDOOM |
| AGENT ATTORNEY FIRST NAME | KAMRAN |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 8303 SOUTHWEST FREEWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 111 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77074 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18323331000.0 |
| AGENT ATTORNEY EMAIL ADDRESS | KAMRAN@KIMALWUS.COM |
| LAWFIRM NAME BUSINESS NAME | KAMRAN I MAKHDOOM PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF NEW YORK |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1333 OLD SPANISH TRAIL |
| WORKSITE ADDRESS2 | SUITE C |
| LCA CASE WORKLOC1 CITY | HOUSTON |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77056 |
| LCA CASE WAGE RATE FROM | 148907.0 |
| LCA CASE WAGE RATE TO | 190000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 148907.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | MAKHDOOM |
| PREPARER FIRST NAME | KAMRAN |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | KAMRAN I MAKHDOOM PLLC |
| PREPARER EMAIL | KAMRAN@KIMLAWUS.COM |
