| LCA CASE NUMBER | I-200-21145-341817 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-25 |
| DECISION DATE | 2021-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| 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 | MIDWEST DENTAL CARE, MONDOVI, INC. |
| EMPLOYER ADDRESS1 | 100 SPECTRUM CENTER DRIVE |
| EMPLOYER ADDRESS2 | SUITE 1500 |
| EMPLOYER CITY | IRVINE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92618 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17144281379 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | ARMENTA |
| EMPLOYER POC FIRST NAME | KRISTIN |
| EMPLOYER POC JOB TITLE | SR. MANAGER, RECRUITMENT OPERATIONS |
| EMPLOYER POC ADDRESS 1 | 100 SPECTRUM CENTER DRIVE |
| EMPLOYER POC CITY | IRVINE |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92618 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17144281379 |
| EMPLOYER POC EMAIL | KRISTIN.ARMENTA@SMILEBRANDS.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WU |
| AGENT ATTORNEY FIRST NAME | TIFFANY |
| AGENT ATTORNEY MIDDLE NAME | CHANG |
| AGENT ATTORNEY ADDRESS1 | 18401 Von Karman Avenue |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19492610209 |
| AGENT ATTORNEY EMAIL ADDRESS | KAngeles@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3111 EAST CALUMET STREET |
| LCA CASE WORKLOC1 CITY | APPLETON |
| WORKSITE COUNTY | CALUMET |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54915 |
| LCA CASE WAGE RATE FROM | 72.68 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 72.68 |
| 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 |
