| LCA CASE NUMBER | I-200-21277-622545 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-04 |
| DECISION DATE | 2021-10-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist (Associate) |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-10-11 |
| END DATE | 2024-10-10 |
| 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 | Apollonia Dental LLC |
| EMPLOYER ADDRESS1 | 3132 Market Place |
| EMPLOYER CITY | Onalaska |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54650 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13154546000 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Ximenes |
| EMPLOYER POC FIRST NAME | Juliana |
| EMPLOYER POC JOB TITLE | Immigration Manager |
| EMPLOYER POC ADDRESS1 | Aspen Dental Management, Inc. |
| EMPLOYER POC ADDRESS2 | 800 W. Fulton Street |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13154546000 |
| EMPLOYER POC EMAIL | juliana.ximenes@aspendental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | O'Donoghue |
| AGENT ATTORNEY FIRST NAME | Robin |
| AGENT ATTORNEY MIDDLE NAME | Dana |
| AGENT ATTORNEY ADDRESS1 | O'Donoghue Law, LLC |
| AGENT ATTORNEY ADDRESS2 | 2067 Massachusetts Avenue, 5th Floor |
| AGENT ATTORNEY CITY | Cambridge |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02140 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16174929898 |
| AGENT ATTORNEY EMAIL ADDRESS | rdod@odonoghuelawllc.com |
| LAWFIRM NAME BUSINESS NAME | O'Donoghue Law, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3809 Oakwood Mall Drive |
| WORKSITE ADDRESS2 | Suite C |
| LCA CASE WORKLOC1 CITY | Eau Claire |
| WORKSITE COUNTY | EAU CLAIRE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54701 |
| LCA CASE WAGE RATE FROM | 87.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 39.31 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
