| LCA CASE NUMBER | I-200-21200-470611 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-19 |
| DECISION DATE | 2021-07-26 |
| 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 | 2021-12-18 |
| END DATE | 2024-12-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Brookside Dental Care, LLC |
| EMPLOYER ADDRESS1 | 2536 E 10th Street |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13179831200 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Gill |
| EMPLOYER POC FIRST NAME | Shikha |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS1 | 2536 E 10th Street |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13177719244 |
| EMPLOYER POC EMAIL | manager.brookside@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Long |
| AGENT ATTORNEY FIRST NAME | Sari |
| AGENT ATTORNEY MIDDLE NAME | Michelle |
| AGENT ATTORNEY ADDRESS1 | 1050 K Street NW |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12023127029 |
| AGENT ATTORNEY EMAIL ADDRESS | sari.long@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
| STATE OF HIGHEST COURT | DC |
|
| NAME OF HIGHEST STATE COURT | DC Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2536 E 10th Street |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46201 |
| LCA CASE WAGE RATE FROM | 156000 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 144310 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
