| LCA CASE NUMBER | I-200-21348-763844 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-14 |
| DECISION DATE | 2021-12-21 |
| 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 | 2022-01-17 |
| END DATE | 2025-01-16 |
| 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 | Northern Valley Indian Health Inc. |
| EMPLOYER ADDRESS1 | 257 N Butte St |
| EMPLOYER CITY | Willows |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95988 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15303308800 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Laackmann |
| EMPLOYER POC FIRST NAME | Stacy |
| EMPLOYER POC JOB TITLE | SPHR – HR Director |
| EMPLOYER POC ADDRESS1 | 257 N Butte St |
| EMPLOYER POC CITY | Willows |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95988 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15303308800 |
| EMPLOYER POC EMAIL | stacy.laackmann@nvih.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Chien-Yu |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 2730 Gateway Oaks Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 208 |
| AGENT ATTORNEY CITY | Sacramento |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95833 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19166434657 |
| AGENT ATTORNEY EMAIL ADDRESS | mwang@wilneroreilly.com |
| LAWFIRM NAME BUSINESS NAME | Wilner & O'Reilly, APLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 207 N Butte St |
| LCA CASE WORKLOC1 CITY | Willows |
| WORKSITE COUNTY | GLENN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95988 |
| LCA CASE WAGE RATE FROM | 88.94 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 86.01 |
| PW UNIT OF PAY | Hour |
| 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 |
