| LCA CASE NUMBER | I-200-21110-241232 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-20 |
| DECISION DATE | 2021-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | 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 | Abrahim Mustafa D.D.S., Inc. |
| TRADE NAME DBA | Family Dental Group |
| EMPLOYER ADDRESS1 | 2280 South Garey Avenue |
| EMPLOYER CITY | Pomona |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91766 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19093640633 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Mustafa |
| EMPLOYER POC FIRST NAME | Abrahim |
| EMPLOYER POC MIDDLE NAME | Abdul |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 2280 South Garey Avenue |
| EMPLOYER POC CITY | Pomona |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91766 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19093640633 |
| EMPLOYER POC EMAIL | smile_and_laugh_now@hotmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Franco |
| AGENT ATTORNEY FIRST NAME | Angela |
| AGENT ATTORNEY ADDRESS1 | 8583 Irvine Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 5 |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92618 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19499296299 |
| AGENT ATTORNEY EMAIL ADDRESS | angelafrancolaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Angela Franco |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Federal District Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2280 South Garey Avenue |
| LCA CASE WORKLOC1 CITY | Pomona |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91766 |
| LCA CASE WAGE RATE FROM | 87.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 40.29 |
| 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 |
| PREPARER LAST NAME | Franco |
| PREPARER FIRST NAME | Angela |
| PREPARER BUSINESS NAME | Law Offices of Angela Franco |
| PREPARER EMAIL | angelafrancolaw@gmail.com |
