| LCA CASE NUMBER | I-200-21146-345096 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-26 |
| DECISION DATE | 2021-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-30 |
| END DATE | 2024-05-29 |
| 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 | Life Bridge Dental DC, PLLC |
| EMPLOYER ADDRESS1 | 1441 U Street NW |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20009 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16155458415 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Hitt |
| EMPLOYER POC FIRST NAME | Ellen |
| EMPLOYER POC JOB TITLE | Head of People |
| EMPLOYER POC ADDRESS 1 | 8 City Blvd |
| EMPLOYER POC ADDRESS 2 | Suite 204 |
| EMPLOYER POC CITY | Nashville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37209 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16155458415 |
| EMPLOYER POC EMAIL | ellen@hellotend.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Motley |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY MIDDLE NAME | Edward |
| AGENT ATTORNEY ADDRESS1 | 1102 17th Avenue South |
| AGENT ATTORNEY ADDRESS2 | Suite 401 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37212 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16153698002 |
| AGENT ATTORNEY EMAIL ADDRESS | jonathan@saffordmotley.com |
| LAWFIRM NAME BUSINESS NAME | Safford Motley PLC |
|
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1441 U Street NW |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20009 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 194958 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Motley |
| PREPARER FIRST NAME | Jonathan |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Safford Motley PLC |
| PREPARER EMAIL | jonathan@saffordmotley.com |
