| LCA CASE NUMBER | I-200-20088-442786 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-27 |
| DECISION DATE | 2020-04-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-25 |
| END DATE | 2023-09-25 |
| 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 | Momani D.D.S, Inc. |
| TRADE NAME DBA | D.B.A. Suave Dental |
| EMPLOYER ADDRESS1 | 3025 McHenry Ave. |
| EMPLOYER ADDRESS2 | STE. N-U |
| EMPLOYER CITY | Modesto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95350 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12095273990 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Momani |
| EMPLOYER POC FIRST NAME | Ahmad |
| EMPLOYER POC MIDDLE NAME | I. |
| EMPLOYER POC JOB TITLE | CEO/D.D.S. |
| EMPLOYER POC ADDRESS1 | 3025 McHenry Avenue |
| EMPLOYER POC ADDRESS2 | STE. N-U |
| EMPLOYER POC CITY | Modesto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93550 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12095273990 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Franco |
| AGENT ATTORNEY FIRST NAME | Angela |
| AGENT ATTORNEY ADDRESS1 | 8583 Irvine Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 5 |
| AGENT ATTORNEY CITY | Irvine |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92618 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19499296299.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Angela Franco |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Federal District Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3025 McHenry Avenue |
| WORKSITE ADDRESS2 | Ste. N-U |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95359 |
| LCA CASE WAGE RATE FROM | 87.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 46.25 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Franco |
| PREPARER FIRST NAME | Angela |
| PREPARER BUSINESS NAME | Law Offices of Angela Franco |
| PREPARER EMAIL | [email protected] |
