| LCA CASE NUMBER | I-200-21267-606363 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-24 |
| DECISION DATE | 2021-10-01 |
| 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 | 2024-04-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | The Smilist Dental, PLLC |
| EMPLOYER ADDRESS1 | 445 Hamilton Avenue |
| EMPLOYER ADDRESS2 | Suite 220 |
| EMPLOYER CITY | White Plains |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19143315346 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Hart |
| EMPLOYER POC FIRST NAME | Tiffany |
| EMPLOYER POC JOB TITLE | Recruiting Strategies & Program Manager |
| EMPLOYER POC ADDRESS1 | 40 Cutter Mill Road |
| EMPLOYER POC ADDRESS2 | Suite 500 |
| EMPLOYER POC CITY | Great Neck |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11021 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15165008081 |
| EMPLOYER POC EMAIL | tiffany@thesmilist.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Syed |
| AGENT ATTORNEY FIRST NAME | Habeeb |
| AGENT ATTORNEY ADDRESS1 | 2051 Hathaway Avenue |
| AGENT ATTORNEY CITY | Thousand Oaks |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91362 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18053902209 |
| AGENT ATTORNEY EMAIL ADDRESS | hsyed@hsyedlegal.com |
| LAWFIRM NAME BUSINESS NAME | BJ Kang Law, PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 445 Hamilton Avenue |
| WORKSITE ADDRESS2 | Suite 220 |
| LCA CASE WORKLOC1 CITY | White Plains |
| WORKSITE COUNTY | WESTCHESTER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10601 |
| LCA CASE WAGE RATE FROM | 82.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 81.3 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Syed |
| PREPARER FIRST NAME | Habeeb |
| PREPARER BUSINESS NAME | BJ Kang Law, PC |
| PREPARER EMAIL | hsyed@hsyedlegal.com |
