| LCA CASE NUMBER | I-200-24234-284447 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-08-21 |
| DECISION DATE | 2024-08-28 |
| 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 | 2024-09-01 |
| END DATE | 2027-08-31 |
| 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 | Pediatric Dental Group, LLC |
| EMPLOYER ADDRESS1 | 2221 East Bijou St., Suite 100 |
| EMPLOYER CITY | Colorado Springs |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80909 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17817185570 |
| EMPLOYER FEIN | 26-3973085 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Barry |
| EMPLOYER POC FIRST NAME | Craig |
| EMPLOYER POC JOB TITLE | VP or Recruiting |
| EMPLOYER POC ADDRESS1 | 2221 E. Bijou St., Suite 100 |
| EMPLOYER POC CITY | Colorado Springs |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80909 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17817185570 |
| EMPLOYER POC EMAIL | craig.barry@herodvo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schultz |
| AGENT ATTORNEY FIRST NAME | Jonathan |
| AGENT ATTORNEY ADDRESS1 | 6424 E. Greenway Pkwy |
| AGENT ATTORNEY CITY | Scottsdale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85254 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14808151855 |
| AGENT ATTORNEY EMAIL ADDRESS | jon.schultz@schultzpena.com |
| LAWFIRM NAME BUSINESS NAME | Schultz Pena LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 602 S. Utica Ave |
| LCA CASE WORKLOC1 CITY | Tulsa |
| WORKSITE COUNTY | TULSA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74104 |
| LCA CASE WAGE RATE FROM | 4250 |
| LCA CASE WAGE RATE UNIT | Week |
| PREVAILING WAGE | 2701.2 |
| PW UNIT OF PAY | Week |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |