| LCA CASE NUMBER | I-200-21117-262523 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2021-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-05-03 |
| END DATE | 2024-05-02 |
| 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 | Austin Comfort Dental PC |
| TRADE NAME DBA | Pflugerville Smiles Dentistry |
| EMPLOYER ADDRESS1 | 305 N. Heatherwilde Blvd |
| EMPLOYER ADDRESS2 | #400 |
| EMPLOYER CITY | Pflugerville |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15129663685 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Balaraman |
| EMPLOYER POC FIRST NAME | Lakshmi |
| EMPLOYER POC MIDDLE NAME | P |
| EMPLOYER POC JOB TITLE | Owner/CEO |
| EMPLOYER POC ADDRESS 1 | 305 N. Heatherwilde Blvd. |
| EMPLOYER POC ADDRESS 2 | #400 |
| EMPLOYER POC CITY | Pfugerville |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78660 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15129663685 |
| EMPLOYER POC EMAIL | pfulgervillesmilesdentistry@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mozaffarimehr |
| AGENT ATTORNEY FIRST NAME | Roujin |
| AGENT ATTORNEY ADDRESS1 | 39899 Balentine Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Newark |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94560 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15104981949 |
| AGENT ATTORNEY EMAIL ADDRESS | contact@mplg.us |
| LAWFIRM NAME BUSINESS NAME | Mathews and Peddibhotla Law Group |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 305 N. Heatherwilde Blvd. |
| WORKSITE ADDRESS2 | #400 |
| LCA CASE WORKLOC1 CITY | Pflugerville |
| WORKSITE COUNTY | TRAVIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78660 |
| LCA CASE WAGE RATE FROM | 68.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 63.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
