| LCA CASE NUMBER | I-200-19302-115388 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-29 |
| DECISION DATE | 2019-11-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-03 |
| END DATE | 2023-01-01 |
| 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 | SOUMAVA SEN DDS PC |
| TRADE NAME DBA | Brident Dental & Orthodontics |
| EMPLOYER ADDRESS1 | 530 S Main Street |
| EMPLOYER CITY | Orange |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92868 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +17145713610 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | HENRY |
| EMPLOYER POC FIRST NAME | Ruthie |
| EMPLOYER POC JOB TITLE | HR Specialty Manager |
| EMPLOYER POC ADDRESS1 | 530 S Main Street |
| EMPLOYER POC CITY | Orange |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92868 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +17145613610 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | GOLD |
| AGENT ATTORNEY FIRST NAME | DANA |
| AGENT ATTORNEY MIDDLE NAME | ANN |
| AGENT ATTORNEY ADDRESS1 | 1630 N. MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 44 |
| AGENT ATTORNEY CITY | WALNUT CREEK |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94596 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19252320442.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | GOLD LAW OFFICES |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | SUPREMEN COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 817 W Jefferson Blvd. |
| LCA CASE WORKLOC1 CITY | Dallas |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75208 |
| LCA CASE WAGE RATE FROM | 81.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 66.71 |
| PW UNIT OF PAY | Hour |
| 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 |
| PREPARER LAST NAME | Schechter |
| PREPARER FIRST NAME | Niely |
| PREPARER BUSINESS NAME | Gold Law Offices |
| PREPARER EMAIL | [email protected] |
