| LCA CASE NUMBER | I-200-21228-523410 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-16 |
| DECISION DATE | 2021-08-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-09-28 |
| END DATE | 2024-09-27 |
| 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 | HEALTHY SMILE FAMILY DENTISTRY, PC |
| EMPLOYER ADDRESS1 | 1866 PACKARD RD |
| EMPLOYER CITY | YPSILANTI |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48197 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17345289132 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | MUNSHEY |
| EMPLOYER POC FIRST NAME | GULAFSHAN |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 1866 PACKARD RD |
| EMPLOYER POC CITY | YPSILANTI |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48197 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17345289132 |
| EMPLOYER POC EMAIL | HEALTHYSMILEDENTIST@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PELTZ |
| AGENT ATTORNEY FIRST NAME | JASON |
| AGENT ATTORNEY MIDDLE NAME | ERIC |
| AGENT ATTORNEY ADDRESS1 | 30300 NORTHWESTERN HWY. |
| AGENT ATTORNEY ADDRESS2 | SUITE 306 |
| AGENT ATTORNEY CITY | FARMINGTON HILLS |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48334 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12483577833 |
| AGENT ATTORNEY EMAIL ADDRESS | PELTZLAW@GMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF JASON E. PELTZ |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF MICHIGAN |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1866 Packard Rd |
| LCA CASE WORKLOC1 CITY | Ypsilanti |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48197 |
| LCA CASE WAGE RATE FROM | 70 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.39 |
| 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 |
| PREPARER LAST NAME | Peltz |
| PREPARER FIRST NAME | Jason |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Law Offices of Jason E Peltz |
| PREPARER EMAIL | peltzlaw@gmail.com |
