| LCA CASE NUMBER | I-200-16062-703720 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/2/16 |
| DECISION DATE | 3/8/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/1/16 |
| EMPLOYMENT END DATE | 9/1/19 |
| LCA CASE EMPLOYER NAME | KOOL SMILES VAN, PC |
| EMPLOYER ADDRESS | 1090 NORTHCHASE PARKWAY SE, SUITE 150 |
| EMPLOYER CITY | MARIETTA |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30067 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7709165023 |
| AGENT ATTORNEY NAME | SCOFIELD, EILEEN |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| LCA CASE JOB TITLE | TRAVELING DENTIST |
| SOC CODE | 29-1029 |
| SOC NAME | DENTISTS, ALL OTHER SPECIALISTS |
| NAIC CODE | 621210 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 44.63 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 81.25 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | FALLS CHURCH |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22042 |
