| LCA CASE NUMBER | I-200-20087-440865 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-27 |
| DECISION DATE | 2020-04-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-03 |
| END DATE | 2023-04-02 |
| 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 | Chamblee Dental Care LLC |
| EMPLOYER ADDRESS1 | 3652 Chamblee Dunwoody Rd |
| EMPLOYER ADDRESS2 | Suite 5 |
| EMPLOYER CITY | Chamblee |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30341 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17709360833 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Chalasani |
| EMPLOYER POC FIRST NAME | Venkat |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 3652 Chamblee Dunwoody Rd |
| EMPLOYER POC ADDRESS2 | STE 5 |
| EMPLOYER POC CITY | Chamblee |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30341 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17709360833 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SHARMA |
| AGENT ATTORNEY FIRST NAME | Asheesh |
| AGENT ATTORNEY MIDDLE NAME | Kumar |
| AGENT ATTORNEY ADDRESS1 | 2255 Cumberland Pkwy SE, Bldg 1200 |
| AGENT ATTORNEY ADDRESS2 | Suite B |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30339 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14043482829.0 |
| AGENT ATTORNEY PHONE EXT | 4.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sharma Law Offices, LLC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Cumming Dental Smiles |
| WORKSITE ADDRESS1 | 5770 Bethelview Road |
| WORKSITE ADDRESS2 | Suite 700 E |
| LCA CASE WORKLOC1 CITY | Cumming |
| WORKSITE COUNTY | FORSYTH |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30040 |
| LCA CASE WAGE RATE FROM | 113422.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113422.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SHARMA |
| PREPARER FIRST NAME | Ciara |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Sharma Law Offices, LLC |
| PREPARER EMAIL | [email protected] |
