| LCA CASE NUMBER | I-200-21119-269278 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-29 |
| DECISION DATE | 2021-05-06 |
| 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 | 2021-06-10 |
| END DATE | 2024-06-09 |
| 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 | Ideal Dental of Lakewood |
| EMPLOYER ADDRESS1 | 7331 Gaston Ave |
| EMPLOYER ADDRESS2 | Suite 160 |
| EMPLOYER CITY | Dallas |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75214 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12143209999 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Odom |
| EMPLOYER POC FIRST NAME | Kayla |
| EMPLOYER POC JOB TITLE | Human Resources Advisor |
| EMPLOYER POC ADDRESS 1 | 7331 Gaston Ave |
| EMPLOYER POC ADDRESS 2 | Suite 160 |
| EMPLOYER POC CITY | Dallas |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75214 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12143209999 |
| EMPLOYER POC EMAIL | kodom@decadental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sethi-Wadhwa |
| AGENT ATTORNEY FIRST NAME | Princy |
| AGENT ATTORNEY ADDRESS1 | 2234 Emery Down Dr. |
| AGENT ATTORNEY CITY | Allen |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75013 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14698881604 |
| AGENT ATTORNEY EMAIL ADDRESS | princy@princylaw.com |
| LAWFIRM NAME BUSINESS NAME | Sethi-Wadhwa Law PLLC |
| STATE OF HIGHEST COURT | TX |
|
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5100 Belt Line Rd |
| WORKSITE ADDRESS2 | Suite 312 |
| LCA CASE WORKLOC1 CITY | Dallas |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75254 |
| LCA CASE WAGE RATE FROM | 164500 |
| 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 | Sethi-Wadhwa |
| PREPARER FIRST NAME | Princy |
| PREPARER BUSINESS NAME | Sethi-Wadhwa Law, PLLC |
| PREPARER EMAIL | princy@princylaw.com |
