| LCA CASE NUMBER | I-200-20140-586457 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-19 |
| DECISION DATE | 2020-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-05-25 |
| END DATE | 2023-05-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Great Expressions Dental Centers ñ Douglas Dziuba, DDS, Inc. |
| EMPLOYER ADDRESS1 | 5950 Airport Highway |
| EMPLOYER ADDRESS2 | Suite 10 |
| EMPLOYER CITY | Toledo |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43615 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12484304356 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Zeleznik |
| EMPLOYER POC FIRST NAME | Donald |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 5650 Airport Highway |
| EMPLOYER POC ADDRESS2 | Suite 10 |
| EMPLOYER POC CITY | Toledo |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12484304356 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wagner |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2000 S Colorado Blvd, Tower 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13037646802.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1555 South Byrne Road |
| WORKSITE ADDRESS2 | Suite 107 |
| LCA CASE WORKLOC1 CITY | Toledo |
| WORKSITE COUNTY | LUCAS |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43614 |
| LCA CASE WAGE RATE FROM | 55.21 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.21 |
| PW UNIT OF PAY | Hour |
| 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 |
| PREPARER LAST NAME | Soto |
| PREPARER FIRST NAME | Jessica |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | [email protected] |
