| LCA CASE NUMBER | I-200-21113-253682 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-23 |
| DECISION DATE | 2021-04-30 |
| 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 | 2021-05-12 |
| END DATE | 2023-07-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Salud Dental Group Albuquerque |
| EMPLOYER ADDRESS1 | 3803 Atrisco Dr. NW |
| EMPLOYER ADDRESS2 | Suite D |
| EMPLOYER CITY | Albuquerque |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 87120 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15058331550 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Hershberger |
| EMPLOYER POC FIRST NAME | Monica |
| EMPLOYER POC JOB TITLE | Office Coordinator |
| EMPLOYER POC ADDRESS 1 | 3803 Atrisco Dr. NW |
| EMPLOYER POC ADDRESS 2 | Suite D |
| EMPLOYER POC CITY | Albuquerque |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 87120 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15058331550 |
| EMPLOYER POC EMAIL | saluddentalnm@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jimenez |
| AGENT ATTORNEY FIRST NAME | Gabriel |
| AGENT ATTORNEY ADDRESS1 | 221 N. Kansas St. |
| AGENT ATTORNEY ADDRESS2 | Suite 504 |
| AGENT ATTORNEY CITY | El Paso |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 79901 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19155334211 |
| AGENT ATTORNEY EMAIL ADDRESS | gabriel@gjimenezlawoffice.com |
| LAWFIRM NAME BUSINESS NAME | Gabriel Jimenez Law Office |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3803 Atrisco Dr. NW |
| WORKSITE ADDRESS2 | Suite D |
| LCA CASE WORKLOC1 CITY | Albuquerque |
| WORKSITE COUNTY | BERNALILLO |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 87120 |
| LCA CASE WAGE RATE FROM | 166338 |
| LCA CASE WAGE RATE TO | 166340 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 166338 |
| 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 | Jimenez |
| PREPARER FIRST NAME | Gabriel |
| PREPARER BUSINESS NAME | Gabriel Jimenez Law Office |
| PREPARER EMAIL | gabriel@gjimenezlawoffice.com |
