| LCA CASE NUMBER | I-200-21294-659964 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-21 |
| DECISION DATE | 2021-10-28 |
| 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 | 2021-11-02 |
| END DATE | 2024-11-01 |
| 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 | Gainesville Dental Associates LLC |
| EMPLOYER ADDRESS1 | 3582 Waters Run Dr. |
| EMPLOYER CITY | Alpharetta |
| EMPLOYER POSTAL CODE | 30501 |
| EMPLOYER COUNTRY | GEORGIA |
| EMPLOYER PHONE | 16176694881 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Chalasani |
| EMPLOYER POC FIRST NAME | Venkatadri |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 3582 Waters Run Dr. |
| EMPLOYER POC CITY | Alpharetta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16176694881 |
| EMPLOYER POC EMAIL | vchalasani@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Konrad |
| AGENT ATTORNEY FIRST NAME | Helen |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18047753825 |
| AGENT ATTORNEY EMAIL ADDRESS | hkonrad@lawmh.com |
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Roswell Dental Smiles |
| WORKSITE ADDRESS1 | 910 Woodstock Rd. |
| WORKSITE ADDRESS2 | Suite 110 |
| LCA CASE WORKLOC1 CITY | Roswell |
| WORKSITE COUNTY | GWINNETT |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30071 |
| LCA CASE WAGE RATE FROM | 140000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119538 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Barger |
| PREPARER FIRST NAME | Meghan |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | McCandlish Holton, PC |
| PREPARER EMAIL | mbarger@lawmh.com |
