| LCA CASE NUMBER | I-200-24009-627112 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2024-01-09 |
| DECISION DATE | 2024-05-28 |
| ORIGINAL CERT DATE | 2024-01-17 |
| 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 | 2024-05-06 |
| END DATE | 2027-05-05 |
| 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 | WH AR Dental PLLC |
| TRADE NAME DBA | Walmart Health |
| EMPLOYER ADDRESS1 | 702 SW 8th Street |
| EMPLOYER ADDRESS2 | MSC 0235 |
| EMPLOYER CITY | Bentonville |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72716 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14792049291 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Grabow |
| EMPLOYER POC FIRST NAME | Aubrey |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 2608 SE J Street |
| EMPLOYER POC CITY | Bentonville |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72716 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14792049291 |
| EMPLOYER POC EMAIL | Audrey.Grabow@walmart.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stulmaker |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY ADDRESS1 | 1400 Broadway |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128917589 |
| AGENT ATTORNEY EMAIL ADDRESS | Lstulmaker@fragomen.com |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NYS APPELLATE DIVISION, SECOND DEPARTMENT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5302 N Garland Ave |
| LCA CASE WORKLOC1 CITY | Garland |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75040 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 130478 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Angel |
| PREPARER FIRST NAME | Ariana |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | ariana.angel@fragomen.com |