| LCA CASE NUMBER | I-200-21197-467753 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-16 |
| DECISION DATE | 2021-07-23 |
| 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 | 2021-08-16 |
| END DATE | 2023-10-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Khushwant Singh DDS PLLC |
| TRADE NAME DBA | Dr. K Singh Family Dental Care |
| EMPLOYER ADDRESS1 | 3280 SE Lund Ave |
| EMPLOYER ADDRESS2 | #8 |
| EMPLOYER CITY | Port Orchard |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98366 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13608746846 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | SINGH |
| EMPLOYER POC FIRST NAME | KHUSHWANT |
| EMPLOYER POC JOB TITLE | OWNER/DENTIST |
| EMPLOYER POC ADDRESS1 | 3280 SE LUND AVE |
| EMPLOYER POC ADDRESS2 | SUITE 8 |
| EMPLOYER POC CITY | PORT ORCHARD |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98366 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13608746846 |
| EMPLOYER POC EMAIL | SINGH_KHUSHWANT@HOTMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SINGH |
| AGENT ATTORNEY FIRST NAME | HARDEEP |
| AGENT ATTORNEY MIDDLE NAME | SINGH |
| AGENT ATTORNEY ADDRESS1 | 39111 PASEO PADRE PARKWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 117 |
| AGENT ATTORNEY CITY | FREMONT |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94538 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15107911111 |
|
| AGENT ATTORNEY EMAIL ADDRESS | HR@RAILAW.COM |
| LAWFIRM NAME BUSINESS NAME | RAI AND ASSOCIATES |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3280 SE Lund Ave. |
| WORKSITE ADDRESS2 | Suite #8 |
| LCA CASE WORKLOC1 CITY | Port Orchard |
| WORKSITE COUNTY | KITSAP |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98366 |
| LCA CASE WAGE RATE FROM | 203000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 202862 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | RAI |
| PREPARER FIRST NAME | HARDEEP |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | RAI AND ASSOCIATES |
| PREPARER EMAIL | HR@RAILAW.COM |