| LCA CASE NUMBER | I-200-23138-033975 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-18 |
| DECISION DATE | 2023-05-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-05-29 |
| END DATE | 2026-05-28 |
| 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 | Robert A Rosenbaum DDS Inc |
| TRADE NAME DBA | Dr. Rosenbaum and Associates |
| EMPLOYER ADDRESS1 | 2200 McHenry Ave |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Modesto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95350 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12095269132 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Rosenbaum |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Dentist/Owner |
| EMPLOYER POC ADDRESS1 | 2200 McHenry Ave |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Modesto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95350 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12095269132 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Baxley |
| AGENT ATTORNEY FIRST NAME | Shirley |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 130 Magnolia Point Drive |
| AGENT ATTORNEY CITY | Columbia |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29212 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17143288090 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shirley's Immigration Service |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2200 McHenry Ave |
| WORKSITE ADDRESS2 | Suite B |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95350 |
| LCA CASE WAGE RATE FROM | 75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 73.59 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Baxley |
| PREPARER FIRST NAME | Shirley |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Shirley's Immigration Service |
| PREPARER EMAIL | [email protected] |
