| LCA CASE NUMBER | I-200-21295-663392 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-22 |
| DECISION DATE | 2021-10-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Borger Dental PLLC |
| TRADE NAME DBA | Borger Smiles |
| EMPLOYER ADDRESS1 | 1331 W Wilson St |
| EMPLOYER CITY | Borger |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79007 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18062749675 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Wallace |
| EMPLOYER POC FIRST NAME | Russell |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 2401 E Randol Mill Road |
| EMPLOYER POC ADDRESS2 | #520 |
| EMPLOYER POC CITY | Arlington |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76011 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18178904860 |
| EMPLOYER POC EMAIL | russell.wallace@altiusdental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bhatt |
| AGENT ATTORNEY FIRST NAME | Samir |
| AGENT ATTORNEY ADDRESS1 | 366 N BROADWAY |
| AGENT ATTORNEY ADDRESS2 | Suite 410 |
| AGENT ATTORNEY CITY | Jericho |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11753 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19176073390 |
| AGENT ATTORNEY EMAIL ADDRESS | samir@bhatt-law.com |
| LAWFIRM NAME BUSINESS NAME | Bhatt Law, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1331 W Wilson St |
| LCA CASE WORKLOC1 CITY | Borger |
| WORKSITE COUNTY | HUTCHINSON |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79007 |
| LCA CASE WAGE RATE FROM | 108000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74547 |
| 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 |
