| LCA CASE NUMBER | I-200-17170-110846 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/20/2017 |
| DECISION DATE | 6/26/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/15/2017 |
| EMPLOYMENT END DATE | 8/15/2020 |
| LCA CASE EMPLOYER NAME | ADAM DIASTI, D.D.S. P.C. |
| EMPLOYER BUSINESS DBA | SMILECARE COAST DENTAL OF CALIFORNIA |
| EMPLOYER ADDRESS | 4010 W. BOY SCOUT BLVD. |
| EMPLOYER CITY | TAMPA |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8132881999 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | RAMOS, MARIA DEL CARMEN |
| AGENT ATTORNEY CITY | TAMPA |
| AGENT ATTORNEY STATE | FL |
| LCA CASE JOB TITLE | GENERAL DENTIST (ASSOCIATE DOCTOR) |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 82,098.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 82,098.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LAKE FOREST |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92630 |
