| LCA CASE NUMBER | I-200-21263-593058 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Redwood Dental of Illinois PLLC |
| EMPLOYER ADDRESS1 | 800 Kirts Blvd |
| EMPLOYER ADDRESS2 | Suite 650 |
| EMPLOYER CITY | Troy |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48084 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12486099733 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | GUSTKE |
| EMPLOYER POC FIRST NAME | TODD |
| EMPLOYER POC JOB TITLE | VP of Human Capital and Employee Engagement |
| EMPLOYER POC ADDRESS1 | 800 KIRTS BLVD |
| EMPLOYER POC ADDRESS2 | STE 650 |
| EMPLOYER POC CITY | TROY |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48084 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12486099733 |
| EMPLOYER POC EMAIL | tgustke@redwooddental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BENCHETRIT |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 12 Christopher Way |
| AGENT ATTORNEY ADDRESS2 | Suite 102 |
| AGENT ATTORNEY CITY | Eatontown |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7724 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13059981732 |
| AGENT ATTORNEY PHONE EXT | 107 |
| AGENT ATTORNEY EMAIL ADDRESS | mbenchetrit@BHLG.COM |
| LAWFIRM NAME BUSINESS NAME | Ben Hamou Benchetrit Law Group LLC |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5950 West 159th Street |
| LCA CASE WORKLOC1 CITY | Oak Forest |
| WORKSITE COUNTY | COOK |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 60452 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 192005 |
| 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 |
