| LCA CASE NUMBER | I-200-16099-804052 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/11/16 |
| DECISION DATE | 4/15/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/16 |
| EMPLOYMENT END DATE | 10/1/19 |
| LCA CASE EMPLOYER NAME | HOME TOWN DENTAL AT BELKNAP, PC |
| EMPLOYER ADDRESS | 3825 YUCCA AVE STE. 101 |
| EMPLOYER CITY | FORT WORTH |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8172373222 |
| AGENT ATTORNEY NAME | SETHI-WADHWA, PRINCY |
| AGENT ATTORNEY CITY | ALLEN |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 621210 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 102,918.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 102,918.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | FORT WORTH |
| WORKSITE COUNTY | TARRANT |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76111 |
