| LCA CASE NUMBER | I-200-19072-985956 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-03-13 |
| DECISION DATE | 2019-03-19 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-09-02 |
| EMPLOYMENT END DATE | 2022-09-01 |
| LCA CASE EMPLOYER NAME | POLSKY DDS - VIRK DMD, MS, PS |
| EMPLOYER BUSINESS DBA | KIDS CHOICE DENTAL |
| EMPLOYER ADDRESS | 8012 112TH STREET CT E |
| EMPLOYER CITY | PUYALLUP |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98373 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2538487000 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | SHIRLEYBAXLEY |
| AGENT ATTORNEY CITY | POST FALL |
| AGENT ATTORNEY STATE | ID |
| LCA CASE JOB TITLE | DENTIST GENERAL |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| 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 | True |
| PREVAILING WAGE | 94016 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 1 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 94016 |
| LCA CASE WAGE RATE TO | 94400 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Puyallup |
| WORKSITE COUNTY | Pierce |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98373 |
| WILLFUL VIOLATOR | False |
