| LCA CASE NUMBER | I-200-21166-397937 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-15 |
| DECISION DATE | 2021-06-23 |
| 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 | 2021-10-01 |
| 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 | Vardiman Black Holdings, LLC |
| TRADE NAME DBA | CHILDRENS DENTAL AT PRESTON TRAIL PC |
| EMPLOYER ADDRESS1 | 401 Church St |
| EMPLOYER ADDRESS2 | #1400 |
| EMPLOYER CITY | Nashville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17708518319 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Samson |
| EMPLOYER POC FIRST NAME | Gerald S. |
| EMPLOYER POC JOB TITLE | Clinical Director Orthodontics |
| EMPLOYER POC ADDRESS 1 | 401 CHURCH ST |
| EMPLOYER POC ADDRESS 2 | STE 1400 |
| EMPLOYER POC CITY | Nashville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17708518319 |
| EMPLOYER POC EMAIL | gnathosce@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sethi-Wadhwa |
| AGENT ATTORNEY FIRST NAME | Princy |
| AGENT ATTORNEY ADDRESS1 | 2234 Emery Down Dr |
| AGENT ATTORNEY CITY | Allen |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75013 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14698881604 |
| AGENT ATTORNEY EMAIL ADDRESS | princy@princylaw.com |
| LAWFIRM NAME BUSINESS NAME | Sethi-Wadhwa Law PLLC |
|
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | MB2 DENTAL SOLUTIONS |
| WORKSITE ADDRESS1 | THE CROC DOC, PC 7878 GATEWAY BLVD E, STE 101 |
| LCA CASE WORKLOC1 CITY | EL PASO |
| WORKSITE COUNTY | EL PASO |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79915 |
| LCA CASE WAGE RATE FROM | 66872 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66872 |
| 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 |
| PREPARER LAST NAME | Sethi-Wadhwa |
| PREPARER FIRST NAME | Princy |
| PREPARER BUSINESS NAME | Sethi-Wadhwa Law, PLLC |
| PREPARER EMAIL | princy@princylaw.com |
