| LCA CASE NUMBER | I-200-21176-426560 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-25 |
| DECISION DATE | 2021-07-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-10-02 |
| END DATE | 2024-10-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PROFESSIONAL DENTAL ALLIANCE |
| EMPLOYER ADDRESS1 | 11 SOUTH MILL STREET |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | NEW CASTLE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17246989825 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | SLOAN |
| EMPLOYER POC FIRST NAME | KIMBERLY |
| EMPLOYER POC JOB TITLE | DIRECTOR, HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 11 SOUTH MILL STREET |
| EMPLOYER POC ADDRESS2 | STE 200 |
| EMPLOYER POC CITY | NEW CASTLE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17246989825 |
| EMPLOYER POC EMAIL | SLOANK@NADENTALGROUP.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BROWN |
| AGENT ATTORNEY FIRST NAME | ERIN |
| AGENT ATTORNEY MIDDLE NAME | PATRICE |
| AGENT ATTORNEY ADDRESS1 | 1468 W 9TH STREET |
| AGENT ATTORNEY ADDRESS2 | STE 705 |
| AGENT ATTORNEY CITY | CLEVELAND |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168614414 |
| AGENT ATTORNEY EMAIL ADDRESS | EBROWN@RBROWNLLC.COM |
| LAWFIRM NAME BUSINESS NAME | ROBERT BROWN LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OHIO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7748 Denton Highway |
| LCA CASE WORKLOC1 CITY | Watauga |
| WORKSITE COUNTY | TARRANT |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76148 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
