| LCA CASE NUMBER | I-200-21272-614650 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-29 |
| DECISION DATE | 2021-10-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-10 |
| END DATE | 2025-03-09 |
| 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 | Dental Dreams PLLC |
| EMPLOYER ADDRESS1 | 350 N Clark Street |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60654 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13122740308 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | PETERS |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC JOB TITLE | CHIEF OPERATING PARTNER |
| EMPLOYER POC ADDRESS1 | 350 N Clark Street |
| EMPLOYER POC ADDRESS2 | Suite 600 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60654 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13122740308 |
| EMPLOYER POC EMAIL | MPETERS@KOSSERVICES.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bendersky |
| AGENT ATTORNEY FIRST NAME | Jordan |
| AGENT ATTORNEY ADDRESS1 | 350 N Clark Street |
| AGENT ATTORNEY ADDRESS2 | Suite 600 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60654 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13124649330 |
| AGENT ATTORNEY EMAIL ADDRESS | jbendersky@hebf.com |
| LAWFIRM NAME BUSINESS NAME | Hussain, Bendersky & Liston L.L.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2501 West Pierson Rd. |
| WORKSITE ADDRESS2 | Units B-D |
| LCA CASE WORKLOC1 CITY | Flint |
| WORKSITE COUNTY | GENESEE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48504 |
| LCA CASE WAGE RATE FROM | 110739 |
| LCA CASE WAGE RATE TO | 111000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110739 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BENDERSKY |
| PREPARER FIRST NAME | Jordan |
| PREPARER BUSINESS NAME | Hussain, Bendersky & Liston LLC |
| PREPARER EMAIL | jbendersky@hebf.com |
