| LCA CASE NUMBER | I-200-16124-815878 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/3/16 |
| DECISION DATE | 5/9/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/30/16 |
| EMPLOYMENT END DATE | 9/30/19 |
| 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 | DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 621210 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 114,150.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 170,004.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ROANOKE |
| WORKSITE COUNTY | ROANOKE CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 24012 |
