| LCA CASE NUMBER | I-200-19316-140262 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-12 |
| DECISION DATE | 2019-11-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | STAFF DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-12 |
| END DATE | 2022-10-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GOLDEN VALLEY HEALTH CENTERS |
| EMPLOYER ADDRESS1 | 737 WEST CHILDS AVENUE |
| EMPLOYER CITY | MERCED |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95341 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | CALIFORNIA |
| EMPLOYER PHONE | +12093855205 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Jones |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Provider Recruitment and Retention Coordinator |
| EMPLOYER POC ADDRESS1 | 737 WEST CHILDS AVENUE |
| EMPLOYER POC CITY | MERCED |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95341 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12093846495 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 250 E. Winmore Ave |
| AGENT ATTORNEY CITY | Chapel Hill |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1717 Las Vegas Street |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95358 |
| LCA CASE WAGE RATE FROM | 150000.0 |
| LCA CASE WAGE RATE TO | 165000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 96200.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
