| LCA CASE NUMBER | I-200-21189-451497 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-08 |
| DECISION DATE | 2021-07-15 |
| 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 | 2021-07-26 |
| END DATE | 2024-07-25 |
| 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 | Rodeo Dental Texas, LLC |
| TRADE NAME DBA | Rodeo Dental & Orthodontics |
| EMPLOYER ADDRESS1 | 100 E. 15th St. |
| EMPLOYER ADDRESS2 | Suite 520 |
| EMPLOYER CITY | Fort Worth |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18175298151 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Anderson |
| EMPLOYER POC FIRST NAME | Brian |
| EMPLOYER POC JOB TITLE | Executive Controller |
| EMPLOYER POC ADDRESS1 | 100 E. 15th St. |
| EMPLOYER POC ADDRESS2 | suite 520 |
| EMPLOYER POC CITY | Fort Worth |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76102 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18175298151 |
| EMPLOYER POC EMAIL | b.anderson@rodeodental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Valko |
| AGENT ATTORNEY FIRST NAME | Martin |
| AGENT ATTORNEY ADDRESS1 | 10670 N Central Expy |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75231 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12142518011 |
| AGENT ATTORNEY EMAIL ADDRESS | mvalko@keyvisa.com |
| LAWFIRM NAME BUSINESS NAME | Chavez & Valko, LLP |
|
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3913 E 42nd St |
| LCA CASE WORKLOC1 CITY | Odessa |
| WORKSITE COUNTY | ECTOR |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79762 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105893 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
