| LCA CASE NUMBER | I-200-21159-380086 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-08 |
| DECISION DATE | 2021-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Gregory T Harvey DMD, PC |
| TRADE NAME DBA | dba Blue Ridge Dental Group - Salem VA (Parent = Light Wave Dental Mgmt) |
| EMPLOYER ADDRESS1 | 1618 W. Main St. |
| EMPLOYER CITY | Salem |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 24153 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15408193417 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Guerrant |
| EMPLOYER POC FIRST NAME | Sherry |
| EMPLOYER POC JOB TITLE | HR Business Partner |
| EMPLOYER POC ADDRESS 1 | 1618 W. Main St. |
| EMPLOYER POC CITY | Salem |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 24153 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15408193417 |
| EMPLOYER POC EMAIL | sherry@lightwavedental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Patel |
| AGENT ATTORNEY FIRST NAME | Beeraj |
| AGENT ATTORNEY ADDRESS1 | 7330 Heritage Village Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Gainesville |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20155 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15712482566 |
| AGENT ATTORNEY EMAIL ADDRESS | bpatel@kppblaw.com |
| LAWFIRM NAME BUSINESS NAME | KPPB LAW LLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1618 W. Main St. |
| LCA CASE WORKLOC1 CITY | Salem |
| WORKSITE COUNTY | ROANOKE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 24153 |
| LCA CASE WAGE RATE FROM | 169000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 165714 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Patel |
| PREPARER FIRST NAME | Beeraj |
| PREPARER BUSINESS NAME | KPPB LAW LLC |
| PREPARER EMAIL | bpatel@kppblaw.com |
