| LCA CASE NUMBER | I-200-21195-460161 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-13 |
| DECISION DATE | 2021-07-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-07-26 |
| END DATE | 2024-06-14 |
| 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 | M. Fay DDS, Inc., |
| TRADE NAME DBA | Bullard Dental Group |
| EMPLOYER ADDRESS1 | 323 E. Bullard Ave. |
| EMPLOYER ADDRESS2 | Suite 104 |
| EMPLOYER CITY | Fresno |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15594399990 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Fay |
| EMPLOYER POC FIRST NAME | Mehrdad |
| EMPLOYER POC JOB TITLE | DDS., CEO |
| EMPLOYER POC ADDRESS1 | 323 E. Bullard Ave. |
| EMPLOYER POC ADDRESS2 | Suite 104 |
| EMPLOYER POC CITY | Fresno |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15594399990 |
| EMPLOYER POC EMAIL | info@bullarddental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Najfabadi |
| AGENT ATTORNEY FIRST NAME | Elahe |
| AGENT ATTORNEY ADDRESS1 | 1999 Avenue of the Stars |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102846898 |
| AGENT ATTORNEY EMAIL ADDRESS | ellie@enajfabadi.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Elahe Najfabadi |
|
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CA Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 323 E. Bullard Ave. |
| WORKSITE ADDRESS2 | Suite 104 |
| LCA CASE WORKLOC1 CITY | Fresno |
| WORKSITE COUNTY | FRESNO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93710 |
| LCA CASE WAGE RATE FROM | 85 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 72.26 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 Business |
