| LCA CASE NUMBER | I-200-21263-594149 |
| 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 | False |
| 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 | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Ardalan Zahedi DDS PLLC |
| TRADE NAME DBA | Lakeline Ranch Dental |
| EMPLOYER ADDRESS1 | 10900 Lakeline Mall Dr |
| EMPLOYER ADDRESS2 | Ste 250 |
| EMPLOYER CITY | Austin |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78717 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15125830700 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Zahedi |
| EMPLOYER POC FIRST NAME | Ardalan |
| EMPLOYER POC JOB TITLE | Owner/President |
| EMPLOYER POC ADDRESS1 | 10900 Lakeline Mall Dr. |
| EMPLOYER POC ADDRESS2 | Ste 250 |
| EMPLOYER POC CITY | Austin |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78717 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15125830700 |
| EMPLOYER POC EMAIL | ardalan.zahedi@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sethi Wadhwa |
| AGENT ATTORNEY FIRST NAME | Princy |
| AGENT ATTORNEY ADDRESS1 | 2234 Emery Down Dr |
| AGENT ATTORNEY CITY | Allen |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75013 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14698881604 |
| AGENT ATTORNEY EMAIL ADDRESS | princy@princylaw.com |
| LAWFIRM NAME BUSINESS NAME | Sethi-Wadhwa Law PLLC |
|
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10900 Lakeline Mall Dr. |
| WORKSITE ADDRESS2 | Ste. 250 |
| LCA CASE WORKLOC1 CITY | Austin |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78717 |
| LCA CASE WAGE RATE FROM | 48.67 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 48.67 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 | Sethi-Wadhwa |
| PREPARER FIRST NAME | Princy |
| PREPARER BUSINESS NAME | Sethi-Wadhwa Law, PLLC |
| PREPARER EMAIL | princy@princylaw.com |
