| LCA CASE NUMBER | I-200-17076-149440 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/17/2017 |
| DECISION DATE | 3/23/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/16/2017 |
| EMPLOYMENT END DATE | 9/16/2020 |
| LCA CASE EMPLOYER NAME | SEBASTIAN M. BOURONCLE, DDS-1 PLLC |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 1900 OPITZ BLVD., SUITE C |
| EMPLOYER CITY | WOODBRIDGE |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22191 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 7034940820 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MASHKOURI, M.- NICOLE |
| AGENT ATTORNEY CITY | LEESBURG |
| AGENT ATTORNEY STATE | VA |
| LCA CASE JOB TITLE | PATIENT CARE / TREATMENT COORDINATOR |
| SOC CODE | 13-1199 |
| SOC NAME | BUSINESS OPERATIONS SPECIALISTS, ALL OTHER |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 28.35 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 28.35 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | WOODBRIDGE |
| WORKSITE COUNTY | PRINCE WILLIAM |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22191 |
