| LCA CASE NUMBER | I-200-21165-396078 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-14 |
| DECISION DATE | 2021-06-22 |
| 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 | 2021-08-02 |
| END DATE | 2024-07-31 |
| 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 | Community Dental Clinic, Inc. |
| TRADE NAME DBA | The PIC Place |
| EMPLOYER ADDRESS1 | 87 Merchant Drive |
| EMPLOYER CITY | Montrose |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 81401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19702528896 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | HALL |
| EMPLOYER POC FIRST NAME | Melanie |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS 1 | 87 Merchant Drive |
| EMPLOYER POC CITY | Montrose |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 81401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19702528896 |
| EMPLOYER POC EMAIL | melanieh@picplace.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Murad |
| AGENT ATTORNEY FIRST NAME | Yvan |
| AGENT ATTORNEY MIDDLE NAME | Eugene |
| AGENT ATTORNEY ADDRESS1 | 1790 30th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Boulder |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13034495535 |
| AGENT ATTORNEY EMAIL ADDRESS | yvan@muradimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Murad and Murad PC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 87 Merchant Drive |
| LCA CASE WORKLOC1 CITY | Montrose |
| WORKSITE COUNTY | MONTROSE |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 81401 |
| LCA CASE WAGE RATE FROM | 162500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128003 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Murad |
| PREPARER FIRST NAME | Yvan |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Murad and Murad PC |
| PREPARER EMAIL | yvan@muradimmigration.com |
