\ H1B CASE NUMBER I-200-25112-892162



CASE NUNBER: I-200-25112-892162

LCA CASE NUMBERI-200-25112-892162
STATUSCertified
LCA CASE SUBMIT2025-04-22
DECISION DATE2025-04-29
VISA CLASSH-1B
LCA CASE JOB TITLEDENTIST
SOC CODE29-1021
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-04-30
END DATE2028-04-29
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEHEALTHY SMILES DENTAL OF PALM COAST LLC
EMPLOYER ADDRESS11264 PALM COAST PARKWAY SW
EMPLOYER CITYPALM COAST
EMPLOYER STATEFL
EMPLOYER POSTAL CODE32137
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13862834902
EMPLOYER FEIN27-4064663
NAICS CODE621210
EMPLOYER POC LAST NAMEBENCHIMOL
EMPLOYER POC FIRST NAMEJACQUES
EMPLOYER POC JOB TITLEOWNER
EMPLOYER POC ADDRESS11246 PALM COAST PARKWAY SW
EMPLOYER POC CITYPALM COAST
EMPLOYER POC STATEFL
EMPLOYER POC POSTAL CODE32137
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13862834902
EMPLOYER POC EMAILHEALTHYSMILESPALM@GMAIL.COM
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEGOLD
AGENT ATTORNEY FIRST NAMEDANA
AGENT ATTORNEY MIDDLE NAMEANN
AGENT ATTORNEY ADDRESS11630 N. MAIN STREET
AGENT ATTORNEY ADDRESS2SUITE 44
AGENT ATTORNEY CITYWALNUT CREEK
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE94596
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE19252320442
AGENT ATTORNEY EMAIL ADDRESSDANA@GOLDLAWOFFICES.COM
LAWFIRM NAME BUSINESS NAMEGOLD LAW OFFICES
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSUPREME COURT
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11264 PALM COAST PARKWAY SW
LCA CASE WORKLOC1 CITYPALM COAST
WORKSITE COUNTYFLAGLER
LCA CASE WORKLOC1 STATEFL
WORKSITE POSTAL CODE32137
LCA CASE WAGE RATE FROM158900
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE158850
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMESCHECHTER
PREPARER FIRST NAMENIELY
PREPARER BUSINESS NAMEGOLD LAW OFFICES
PREPARER EMAILNIELY@GOLDLAWOFFICES.COM