| LCA CASE NUMBER | I-200-21263-594704 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-30 |
| END DATE | 2024-11-29 |
| 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 | KB Dentistry PLLC |
| TRADE NAME DBA | Dental express |
| EMPLOYER ADDRESS1 | 2712 Sw 29 Th Street |
| EMPLOYER CITY | Oklahoma City |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73119 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14052124549 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Boganatham |
| EMPLOYER POC FIRST NAME | Sireesha |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 2712 SW 29th St |
| EMPLOYER POC CITY | Oklahoma City |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73119 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14052124549 |
| EMPLOYER POC EMAIL | office@dentalexpressok.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 | 2712 SW 29TH ST. |
| LCA CASE WORKLOC1 CITY | Oklahoma City |
| WORKSITE COUNTY | OKLAHOMA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73119 |
| LCA CASE WAGE RATE FROM | 216000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 203112 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
