| LCA CASE NUMBER | I-200-21155-371931 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-04 |
| DECISION DATE | 2021-06-11 |
| 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 | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | Woodbury Dental Arts P.A. |
| EMPLOYER ADDRESS1 | 237 Radio Drive |
| EMPLOYER ADDRESS2 | Suite 110 |
| EMPLOYER CITY | Woodbury |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55125 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MN |
| EMPLOYER PHONE | 16514367559 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | De Arman |
| EMPLOYER POC FIRST NAME | Carol |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS 1 | 237 Radio Drive |
| EMPLOYER POC ADDRESS 2 | Suite 110 |
| EMPLOYER POC CITY | Woodbury |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55125 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16514367559 |
| EMPLOYER POC EMAIL | carol@woodburydentalarts.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Goldfarb |
| AGENT ATTORNEY FIRST NAME | Alan |
| AGENT ATTORNEY MIDDLE NAME | Barry |
| AGENT ATTORNEY ADDRESS1 | 1201 Harmon Place |
| AGENT ATTORNEY ADDRESS2 | Suite 303 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55403 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16126302244 |
|
| AGENT ATTORNEY EMAIL ADDRESS | alan@dgvisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Davis and Goldfarb PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 237 Radio Drive |
| WORKSITE ADDRESS2 | Suite 110 |
| LCA CASE WORKLOC1 CITY | Woodbury |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55125 |
| LCA CASE WAGE RATE FROM | 138000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 133058 |
| 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 |
