| LCA CASE NUMBER | I-200-21029-042050 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-29 |
| DECISION DATE | 2021-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2023-08-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Floss and Gloss Dental PLLC |
| TRADE NAME DBA | Floss and Gloss Dental |
| EMPLOYER ADDRESS1 | 505 N. Industrial Blvd. |
| EMPLOYER ADDRESS2 | Suite 800 |
| EMPLOYER CITY | Bedford |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75063 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18174094901 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Nilam |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 505 N. Industrial Blvd |
| EMPLOYER POC ADDRESS 2 | Suite 800 |
| EMPLOYER POC CITY | Bedford |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75063 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18174094901 |
| EMPLOYER POC EMAIL | FNGDENTAL@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Harrison-Donaldson |
| AGENT ATTORNEY FIRST NAME | Kimberly |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 4249 Easton Way |
| AGENT ATTORNEY ADDRESS2 | Suite 125 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144288472 |
| AGENT ATTORNEY PHONE EXT | 2 |
| AGENT ATTORNEY EMAIL ADDRESS | kimberly@hdimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Harrison-Donaldson, Attorney at Law |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 505 N. Industrial Blvd. |
| WORKSITE ADDRESS2 | Suite 800 |
| LCA CASE WORKLOC1 CITY | Bedford |
| WORKSITE COUNTY | TARRANT |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75063 |
| LCA CASE WAGE RATE FROM | 80 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 77.11 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
