| LCA CASE NUMBER | I-200-21105-228652 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-03 |
| END DATE | 2024-10-02 |
| 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 | MINT DENTISTRY PLLC |
| EMPLOYER ADDRESS1 | 5307 E Mockingbird Ln |
| EMPLOYER ADDRESS2 | SUITE 325 |
| EMPLOYER CITY | DALLAS |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75206 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12144168400 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | LUCAS |
| EMPLOYER POC FIRST NAME | KIM |
| EMPLOYER POC JOB TITLE | GENERAL COUNSEL |
| EMPLOYER POC ADDRESS 1 | 5307 E Mockingbird Ln |
| EMPLOYER POC ADDRESS 2 | SUITE 325 |
| EMPLOYER POC CITY | DALLAS |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75206 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12144168400 |
| EMPLOYER POC EMAIL | kimlucas@mintdentistry.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Azhar |
| AGENT ATTORNEY FIRST NAME | Furqan |
| AGENT ATTORNEY MIDDLE NAME | Sunny |
| AGENT ATTORNEY ADDRESS1 | 614 S Watters Rd |
| AGENT ATTORNEY ADDRESS2 | Suite C |
| AGENT ATTORNEY CITY | Allen |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75013 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12144201200 |
| AGENT ATTORNEY EMAIL ADDRESS | furqan@azharlawfirm.com |
|
| LAWFIRM NAME BUSINESS NAME | Azhar and Azhar, PLLC |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | OK SUPREME CT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5307 E MOCKINGBIRD LN |
| WORKSITE ADDRESS2 | SUITE 325 |
| LCA CASE WORKLOC1 CITY | DALLAS |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75206 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE TO | 200001 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160389 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Azhar |
| PREPARER FIRST NAME | Furqan |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Azhar and Azhar, PLLC |
| PREPARER EMAIL | furqan@azharlawfirm.com |
