| LCA CASE NUMBER | I-200-21319-705661 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-15 |
| DECISION DATE | 2021-11-22 |
| 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 | 2021-11-15 |
| END DATE | 2024-11-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Peppermint Dental, PLLC |
| EMPLOYER ADDRESS1 | 5701 President George Bush Highway |
| EMPLOYER ADDRESS2 | Ste 140 |
| EMPLOYER CITY | Rowlett |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75089 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12147030703 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Koh |
| EMPLOYER POC FIRST NAME | Jonathan |
| EMPLOYER POC JOB TITLE | Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 2403 Lacy Ln |
| EMPLOYER POC CITY | Carrollton |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75006 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19728693789 |
| EMPLOYER POC PHONE EXT | 214 |
| EMPLOYER POC EMAIL | JKoh@mb2dental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ting |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY ADDRESS1 | 7211 REGENCY SQUARE BLVD |
| AGENT ATTORNEY ADDRESS2 | Ste 220 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13463305888 |
| AGENT ATTORNEY EMAIL ADDRESS | john@johntinglaw.com |
| LAWFIRM NAME BUSINESS NAME | Ting Law Group PC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5701 President George Bush Highway |
| WORKSITE ADDRESS2 | Ste 140 |
| LCA CASE WORKLOC1 CITY | Rowlett |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75089 |
| LCA CASE WAGE RATE FROM | 176000 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 175448 |
| 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 | Ting |
| PREPARER FIRST NAME | John |
| PREPARER BUSINESS NAME | Ting Law Group PC |
| PREPARER EMAIL | john@johntinglaw.com |
