| LCA CASE NUMBER | I-200-21288-647915 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-15 |
| DECISION DATE | 2021-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-29 |
| END DATE | 2025-01-28 |
| 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 | 1ST DENTAL CARE, LLC. |
| EMPLOYER ADDRESS1 | 1150 S.HIGHWAY 92 |
| EMPLOYER ADDRESS2 | SUITE A |
| EMPLOYER CITY | SIERRA VISTA |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85635 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15204595166 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | BUI |
| EMPLOYER POC FIRST NAME | VINH |
| EMPLOYER POC JOB TITLE | BUSINESS ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 1150 S.HIGHWAY 92 |
| EMPLOYER POC ADDRESS2 | SUITE A |
| EMPLOYER POC CITY | SIERRA VISTA |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85635 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15204595166 |
| EMPLOYER POC EMAIL | VINHBUI76@YAHOO.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gupta |
| AGENT ATTORNEY FIRST NAME | S.K. |
| AGENT ATTORNEY ADDRESS1 | 12 BRIDGE STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE C-12 |
| AGENT ATTORNEY CITY | METUCHEN |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 08840 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17327261137 |
| AGENT ATTORNEY EMAIL ADDRESS | skgupta@skgupta.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF S.K. GUPTA, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1150 S HIGHWAY 92 |
| WORKSITE ADDRESS2 | SUITE A |
| LCA CASE WORKLOC1 CITY | SIERRA VISTA |
| WORKSITE COUNTY | COCHISE |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85635 |
| LCA CASE WAGE RATE FROM | 212000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 211578 |
| PW UNIT OF PAY | Year |
| 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 | Tripathi |
| PREPARER FIRST NAME | Shruti |
| PREPARER BUSINESS NAME | LAW OFFICE OF S.K. GUPTA, P.C. |
| PREPARER EMAIL | PARALEGAL@skgupta.com |
