| LCA CASE NUMBER | I-200-16091-419030 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/31/16 |
| DECISION DATE | 4/6/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/30/16 |
| EMPLOYMENT END DATE | 9/30/19 |
| LCA CASE EMPLOYER NAME | CLARKSVILLE DENTAL SPA PLLC |
| EMPLOYER ADDRESS | 800 WEATHERLY DRIVE |
| EMPLOYER CITY | CLARKSVILLE |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 9316478437 |
| AGENT ATTORNEY NAME | KIGHT, MEGAN |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 621210 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 39.99 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 55.55 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | CLARKSVILLE |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37043 |
