| LCA CASE NUMBER | I-200-21139-325118 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-19 |
| DECISION DATE | 2021-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist (Associate) |
| 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 | SB Iowa Dentistry PLLC |
| EMPLOYER ADDRESS1 | 2953 5th Avenue S. |
| EMPLOYER CITY | Fort Dodge |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50501-2923 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13154546000 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Ximenes |
| EMPLOYER POC FIRST NAME | Juliana |
| EMPLOYER POC JOB TITLE | Immigration Paralegal |
| EMPLOYER POC ADDRESS 1 | Aspen Dental Management, Inc. |
| EMPLOYER POC ADDRESS 2 | 1040 West Randolph Street |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13154546000 |
| EMPLOYER POC EMAIL | juliana.ximenes@aspendental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | O'Donoghue |
| AGENT ATTORNEY FIRST NAME | Robin |
| AGENT ATTORNEY MIDDLE NAME | Dana |
| AGENT ATTORNEY ADDRESS1 | O'Donoghue Law, LLC |
| AGENT ATTORNEY ADDRESS2 | 2067 Massachusetts Avenue, 5th Floor |
| AGENT ATTORNEY CITY | Cambridge |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2140 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16174929898 |
| AGENT ATTORNEY EMAIL ADDRESS | rdod@odonoghuelawllc.com |
| LAWFIRM NAME BUSINESS NAME | O'Donoghue Law, LLC |
|
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1255 Theatre Drive |
| LCA CASE WORKLOC1 CITY | Ottumwa |
| WORKSITE COUNTY | WAPELLO |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 52501 |
| LCA CASE WAGE RATE FROM | 156000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 98987 |
| PW UNIT OF PAY | Year |
| 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 |
