| LCA CASE NUMBER | I-200-21103-221734 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-13 |
| DECISION DATE | 2021-04-20 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Advance Smile Dental Creator |
| EMPLOYER ADDRESS1 | 927 Chestnut St. |
| EMPLOYER CITY | Emmaus |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18049 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16109652755 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Nada |
| EMPLOYER POC FIRST NAME | Hiteshkumar |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 927 Chestnut St. |
| EMPLOYER POC CITY | Emmaus |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18049 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16109652755 |
| EMPLOYER POC EMAIL | asdental501@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gonzalez Valle |
| AGENT ATTORNEY FIRST NAME | Jacqueline |
| AGENT ATTORNEY ADDRESS1 | 15925 Carmenita Rd. |
| AGENT ATTORNEY CITY | Cerritos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15622291220 |
| AGENT ATTORNEY EMAIL ADDRESS | joseph.chua@chugh.com |
| LAWFIRM NAME BUSINESS NAME | Chugh, LLP. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 927 Chestnut St. |
| LCA CASE WORKLOC1 CITY | Emmaus |
| WORKSITE COUNTY | LEHIGH |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18049 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114046 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Chua |
| PREPARER FIRST NAME | Joseph |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | Chugh, LLP. |
| PREPARER EMAIL | joseph.chua@chugh.com |
