| LCA CASE NUMBER | I-200-19295-100106 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-21 |
| DECISION DATE | 2019-10-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endodontic Associate |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-28 |
| END DATE | 2022-10-27 |
| 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 | Alibhai & Beppu - Renton, PLLC |
| TRADE NAME DBA | Advanced Endodontics |
| EMPLOYER ADDRESS1 | 555 South Renton Village Place |
| EMPLOYER ADDRESS2 | #786 |
| EMPLOYER CITY | Renton |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98057 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14252078677 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Beppu |
| EMPLOYER POC FIRST NAME | Kenji |
| EMPLOYER POC JOB TITLE | Partner |
| EMPLOYER POC ADDRESS1 | 555 South Renton Village Place |
| EMPLOYER POC ADDRESS2 | #786 |
| EMPLOYER POC CITY | Renton |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12064196439 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Weber |
| AGENT ATTORNEY FIRST NAME | Cletus |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 3035 Island Crest Way |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Mercer Island |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98040 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12063821962.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Peng & Weber, PLLC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme Court of the State of Washington |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 555 South Renton Village Place |
| WORKSITE ADDRESS2 | #786 |
| LCA CASE WORKLOC1 CITY | Renton |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98057 |
| LCA CASE WAGE RATE FROM | 138154.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138154.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
