| LCA CASE NUMBER | I-200-20057-353479 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-26 |
| DECISION DATE | 2020-03-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-08-26 |
| END DATE | 2023-08-26 |
| 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 | Andy Hsu DMD PLLC |
| TRADE NAME DBA | Northgate Family Dentistry |
| EMPLOYER ADDRESS1 | 10212 5th Avenue NE |
| EMPLOYER ADDRESS2 | Suite 268 |
| EMPLOYER CITY | Seattle |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98125 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12065275111 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Hsu |
| EMPLOYER POC FIRST NAME | Andy |
| EMPLOYER POC JOB TITLE | Company Member |
| EMPLOYER POC ADDRESS1 | 10212 5th Avenue NE |
| EMPLOYER POC ADDRESS2 | STE 268 |
| EMPLOYER POC CITY | Seattle |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98125 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12065275111 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chen |
| AGENT ATTORNEY FIRST NAME | Hui Ling Christina |
| AGENT ATTORNEY ADDRESS1 | 14205 SE 36th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Bellevue |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98006 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14252277729.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Diversity Law Group PLLC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WA State Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 10212 5th Avenue NE |
| WORKSITE ADDRESS2 | Suite 268 |
| LCA CASE WORKLOC1 CITY | Seattle |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98125 |
| LCA CASE WAGE RATE FROM | 50.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 44.35 |
| PW UNIT OF PAY | Hour |
| 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 |
