| LCA CASE NUMBER | I-200-21078-162101 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-19 |
| DECISION DATE | 2021-03-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-04-01 |
| END DATE | 2023-08-26 |
| 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 | Byungjun Park DDS, PLLC |
| TRADE NAME DBA | Bellevue Park Dental |
| EMPLOYER ADDRESS1 | 1551 116th Ave NE |
| EMPLOYER ADDRESS2 | Suite B1 |
| EMPLOYER CITY | Bellevue |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98004 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14253731605 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | PARK |
| EMPLOYER POC FIRST NAME | Byungjun |
| EMPLOYER POC JOB TITLE | Member and Owner |
| EMPLOYER POC ADDRESS 1 | 1551 116th Ave NE |
| EMPLOYER POC ADDRESS 2 | Suite B1 |
| EMPLOYER POC CITY | Bellevue |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98004 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14253731605 |
| EMPLOYER POC EMAIL | spinpark@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | Wangjin |
| AGENT ATTORNEY ADDRESS1 | 11555 SE 8th St |
| AGENT ATTORNEY ADDRESS2 | Ste 120 |
| AGENT ATTORNEY CITY | Bellevue |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14254002002 |
| AGENT ATTORNEY EMAIL ADDRESS | wkim@jklawgroup.com |
|
| LAWFIRM NAME BUSINESS NAME | JK Law Group |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1551 116th Ave NE |
| WORKSITE ADDRESS2 | Suite B1 |
| LCA CASE WORKLOC1 CITY | Bellevue |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98004 |
| LCA CASE WAGE RATE FROM | 60 |
| LCA CASE WAGE RATE TO | 65 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 46.6 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 and Employment |
| PREPARER LAST NAME | KIM |
| PREPARER FIRST NAME | Wangjin |
| PREPARER BUSINESS NAME | JK Law Group |
| PREPARER EMAIL | wkim@jklawgroup.com |
