| LCA CASE NUMBER | I-200-21247-566431 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-04 |
| DECISION DATE | 2021-09-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Lab Technician |
| SOC CODE | 51-9081.00 |
| SOC TITLE | Dental Laboratory Technicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-04 |
| END DATE | 2024-09-03 |
| 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 | Rubencillo H. Santos DDS Inc |
| TRADE NAME DBA | Dr. Rubencillo |
| EMPLOYER ADDRESS1 | 2503 E Hatch Rd |
| EMPLOYER CITY | Modesto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95351 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15624126984 |
| NAICS CODE | 339116 |
| EMPLOYER POC LAST NAME | Santos |
| EMPLOYER POC FIRST NAME | Rubencillo |
| EMPLOYER POC MIDDLE NAME | H. |
| EMPLOYER POC JOB TITLE | Dental Lab technician |
| EMPLOYER POC ADDRESS1 | 2503 E Hatch Rd |
| EMPLOYER POC CITY | Modesto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15624126984 |
| EMPLOYER POC EMAIL | d3santos31@yahoo.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2503 E Hatch Rd |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95351 |
| LCA CASE WAGE RATE FROM | 48000 |
| LCA CASE WAGE RATE TO | 62000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48000 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | DBA |
| PW OTHER YEAR | 2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Alamarez |
| PREPARER FIRST NAME | John |
| PREPARER BUSINESS NAME | The Thomas Firm |
| PREPARER EMAIL | johnalamrez@yahoo.com |
