| LCA CASE NUMBER | I-200-21158-374248 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-07 |
| DECISION DATE | 2021-06-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Prosthodontist |
| SOC CODE | 29-1024.00 |
| SOC TITLE | Prosthodontists |
| 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 | Pineyro Implant Dentistry Associates, P.C. |
| TRADE NAME DBA | ClearChoice Dental Implant Center |
| EMPLOYER ADDRESS1 | 2505 S. 320th Street |
| EMPLOYER ADDRESS2 | Suite 110 |
| EMPLOYER CITY | Federal Way |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12532375400 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Baesman |
| EMPLOYER POC FIRST NAME | Tisha |
| EMPLOYER POC JOB TITLE | Operations Manager |
| EMPLOYER POC ADDRESS 1 | 2505 S. 320th Street |
| EMPLOYER POC ADDRESS 2 | Suite 110 |
| EMPLOYER POC CITY | Federal Way |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12532375400 |
| EMPLOYER POC EMAIL | tbaesman@clearchoice.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Meilink |
| AGENT ATTORNEY FIRST NAME | Kelli |
| AGENT ATTORNEY MIDDLE NAME | Jean |
| AGENT ATTORNEY ADDRESS1 | 4801 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1000 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18169838309 |
| AGENT ATTORNEY EMAIL ADDRESS | lca@huschblackwell.com |
| LAWFIRM NAME BUSINESS NAME | Husch Blackwell LLP |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2505 S. 320th Street |
| WORKSITE ADDRESS2 | Suite 110 |
| LCA CASE WORKLOC1 CITY | Federal Way |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98003 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
