| LCA CASE NUMBER | I-200-20128-549196 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-05-06 |
| DECISION DATE | 2020-07-26 |
| ORIGINAL CERT DATE | 2020-05-13 |
| 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 | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | German Wise Dental, LLC |
| TRADE NAME DBA | Lower Columbia Oral Health |
| EMPLOYER ADDRESS1 | 1538 11th Avenue |
| EMPLOYER CITY | Longview |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 09632 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13606363400 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Wise |
| EMPLOYER POC FIRST NAME | Sam |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 1538 11th Avenue |
| EMPLOYER POC CITY | Longview |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 09632 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13606363400 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Rudikh |
| AGENT ATTORNEY FIRST NAME | Yan |
| AGENT ATTORNEY ADDRESS1 | 223 Route 18 South |
| AGENT ATTORNEY ADDRESS2 | Suite 204 |
| AGENT ATTORNEY CITY | East Brunswick |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 08816 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17326596961.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Rudikh & Associates, LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1538 11th Avenue |
| LCA CASE WORKLOC1 CITY | Longview |
| WORKSITE COUNTY | COWLITZ |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98632 |
| LCA CASE WAGE RATE FROM | 150000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 148158.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
