| LCA CASE NUMBER | I-200-20352-967557 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-17 |
| DECISION DATE | 2020-12-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-15 |
| END DATE | 2024-01-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Providence Dental Dhillon PLLC |
| TRADE NAME DBA | Summer Dental |
| EMPLOYER ADDRESS1 | 10965 Lavender Hill Drive |
| EMPLOYER ADDRESS2 | Suite 120 |
| EMPLOYER CITY | Las Vegas |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89135 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17028522829 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Dhillon |
| EMPLOYER POC FIRST NAME | Gurbrinder |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 10965 Lavender Hill Drive |
| EMPLOYER POC ADDRESS 2 | Suite 120 |
| EMPLOYER POC CITY | Las Vegas |
| EMPLOYER POC STATE | NV |
| EMPLOYER POC POSTAL CODE | 89135 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17028522829 |
| EMPLOYER POC EMAIL | Vdhillon1@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Dunn |
| AGENT ATTORNEY FIRST NAME | Grant |
| AGENT ATTORNEY MIDDLE NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 800 W. Cummings Park |
| AGENT ATTORNEY ADDRESS2 | Suite 2750 |
| AGENT ATTORNEY CITY | Woburn |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1801 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173347909 |
| AGENT ATTORNEY EMAIL ADDRESS | amanda@raminenilaw.com |
| LAWFIRM NAME BUSINESS NAME | Ramineni & Shepard, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | MA Judicial Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9800 W. Skye Canyon Park Drive |
| WORKSITE ADDRESS2 | Suite 110 |
| LCA CASE WORKLOC1 CITY | Las Vegas |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89166 |
| LCA CASE WAGE RATE FROM | 195000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 188594 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
