| LCA CASE NUMBER | I-200-24142-021969 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-21 |
| DECISION DATE | 2024-05-29 |
| 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 | 2024-10-01 |
| END DATE | 2027-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KG DENTAL PC |
| TRADE NAME DBA | BLUNN CREEK FAMILY DENTISTRY |
| EMPLOYER ADDRESS1 | 2550 S IH 35 FRONTAGE RD |
| EMPLOYER ADDRESS2 | STE 210 |
| EMPLOYER CITY | Austin |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78704 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15124426728 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MEHTA |
| EMPLOYER POC FIRST NAME | Dweepa |
| EMPLOYER POC JOB TITLE | Director of the Company |
| EMPLOYER POC ADDRESS1 | 2550 S IH 35 Frontage Road |
| EMPLOYER POC ADDRESS2 | STE 210 |
| EMPLOYER POC CITY | Austin |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78704 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15124426728 |
| EMPLOYER POC EMAIL | blunncreekdental@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gonzalez Valle |
| AGENT ATTORNEY FIRST NAME | Jacqueline |
| AGENT ATTORNEY ADDRESS1 | 15925 Carmenita Rd. |
| AGENT ATTORNEY CITY | Cerritos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15624830448 |
| AGENT ATTORNEY EMAIL ADDRESS | Cesar.Ayala@chugh.com |
| LAWFIRM NAME BUSINESS NAME | Chugh, LLP. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2550 S IH 35 FRONTAGE RD |
| WORKSITE ADDRESS2 | STE 210 |
| LCA CASE WORKLOC1 CITY | Austin |
| WORKSITE COUNTY | TRAVIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78704 |
| LCA CASE WAGE RATE FROM | 177715 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 177715 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Ayala |
| PREPARER FIRST NAME | Cesar |
| PREPARER BUSINESS NAME | Chugh, LLP |
| PREPARER EMAIL | Cesar.Ayala@chugh.com |