| LCA CASE NUMBER | I-200-17100-148218 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2017-04-13 |
| DECISION DATE | 2019-11-01 |
| ORIGINAL CERT DATE | 2017-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC TITLE | DENTISTS, GENERAL |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2017-04-20 |
| END DATE | 2020-04-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MODERN DENTAL PROFESSIONALS - ARIZONA, INC. |
| EMPLOYER ADDRESS1 | 100 SPECTRUM CENTER |
| EMPLOYER ADDRESS2 | SUITE 1500 |
| EMPLOYER CITY | IRVINE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92618 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7144281379 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | KIM |
| EMPLOYER POC FIRST NAME | PETER |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, TALENT ACQUISITION |
| EMPLOYER POC ADDRESS1 | 100 SPECTRUM CENTER |
| EMPLOYER POC ADDRESS2 | SUITE 1500 |
| EMPLOYER POC CITY | IRVINE |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92618 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 7144281379 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | DAVID |
| AGENT ATTORNEY FIRST NAME | DAVID |
| AGENT ATTORNEY MIDDLE NAME | BRIAN |
| AGENT ATTORNEY ADDRESS1 | 18401 VON KARMAN AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 255 |
| AGENT ATTORNEY CITY | IRVINE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 9492610209.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE ADDRESS1 | 1804 SOUTH SIGNAL BUTTE ROAD |
| WORKSITE ADDRESS2 | SUITE 111 |
| LCA CASE WORKLOC1 CITY | MESA |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85209 |
| LCA CASE WAGE RATE FROM | 72114.0 |
| LCA CASE WAGE RATE TO | 100000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |