| LCA CASE NUMBER | I-200-21162-392110 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-11 |
| DECISION DATE | 2021-06-21 |
| 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 | 2021-09-14 |
| END DATE | 2024-09-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SmilesForever, LLC |
| EMPLOYER ADDRESS1 | 4511 N. Main St. |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Roswell |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 88201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15752082380 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Sarhaya |
| EMPLOYER POC FIRST NAME | Satender |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 4511 N. Main St. |
| EMPLOYER POC ADDRESS 2 | Suite B |
| EMPLOYER POC CITY | Roswell |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 88201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15752082380 |
| EMPLOYER POC EMAIL | ssarhaya@smilesforeverroswell.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kumar |
| AGENT ATTORNEY FIRST NAME | Nadadur |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 11620 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90025 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13104791383 |
| AGENT ATTORNEY EMAIL ADDRESS | sophieg@nskumarlaw.com |
|
| LAWFIRM NAME BUSINESS NAME | Law Offices of Nadadur S. Kumar |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4511 N Main St. |
| WORKSITE ADDRESS2 | Suite B |
| LCA CASE WORKLOC1 CITY | Roswell |
| WORKSITE COUNTY | CHAVES |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 88201 |
| LCA CASE WAGE RATE FROM | 195000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 189384 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 and Employment |
