| LCA CASE NUMBER | I-200-23144-049808 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-24 |
| DECISION DATE | 2023-05-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Appleton Dental Care LLC |
| EMPLOYER ADDRESS1 | 2640 W. College Ave |
| EMPLOYER CITY | Appleton |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54914 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19204425712 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Groshek |
| EMPLOYER POC FIRST NAME | Brenda |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 2640 W College Ave |
| EMPLOYER POC CITY | Appleton |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54914 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19204425712 |
| EMPLOYER POC EMAIL | implants@brightdentalmadison.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jagow |
| AGENT ATTORNEY FIRST NAME | Julia |
| AGENT ATTORNEY ADDRESS1 | 5931 Jefferson St. NE |
| AGENT ATTORNEY CITY | Albuquerque |
| AGENT ATTORNEY STATE | NM |
| AGENT ATTORNEY POSTAL CODE | 87109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15053526660 |
| AGENT ATTORNEY EMAIL ADDRESS | ebteam@vrapiweeks.com |
| LAWFIRM NAME BUSINESS NAME | Vrapi Weeks, P.A. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Appleton Dental Care |
| WORKSITE ADDRESS2 | 2640 W. College Ave |
| LCA CASE WORKLOC1 CITY | Appleton |
| WORKSITE COUNTY | CALUMET |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54914 |
| LCA CASE WAGE RATE FROM | 76.92 |
| LCA CASE WAGE RATE TO | 120.19 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 59.3 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |