| LCA CASE NUMBER | I-200-21145-341108 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-25 |
| DECISION DATE | 2021-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endodontist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| 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 | North Houston Endodontics PLLC |
| TRADE NAME DBA | Contemporary Endodontics |
| EMPLOYER ADDRESS1 | 11510 Barker Cypress Rd |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Cypress |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77433 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12814178885 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Wan |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | Su Fong |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 11510 Barker Cypress Rd |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | Cypress |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77433 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12816476687 |
| EMPLOYER POC EMAIL | galleria@ceteamendo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nanayakkara |
| AGENT ATTORNEY FIRST NAME | Chiranjaya |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | PO Box 1607 |
| AGENT ATTORNEY CITY | Stafford |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77497-1607 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12812652522 |
|
| AGENT ATTORNEY EMAIL ADDRESS | attorney@grwpc.com |
| LAWFIRM NAME BUSINESS NAME | Willy, Nanayakkara & Associates |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ALABAMA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11510 Barker Cypress Rd |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Cypress |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77433 |
| LCA CASE WAGE RATE FROM | 110739 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110739 |
| 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 |
| PREPARER LAST NAME | Dilanka |
| PREPARER FIRST NAME | Sumudu |
| PREPARER BUSINESS NAME | Willy, Nanayakkara & Associates |
| PREPARER EMAIL | sdilankan@grwpc.com |
