| LCA CASE NUMBER | I-200-20147-598569 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-23 |
| DECISION DATE | 2020-06-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Pediatric Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Culberson R. Boren, D.D.S., P.A. |
| TRADE NAME DBA | Dentistry For Children |
| EMPLOYER ADDRESS1 | 7916 S. Broadway Avenue |
| EMPLOYER ADDRESS2 | Suite 150 |
| EMPLOYER CITY | Tyler |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75703 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19035812198 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Boren |
| EMPLOYER POC FIRST NAME | Culberson |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 7916 S. Broadway Avenue |
| EMPLOYER POC ADDRESS2 | Suite 150 |
| EMPLOYER POC CITY | Tyler |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75703 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19035812198 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Dutton |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 243 New Hyde Park Road |
| AGENT ATTORNEY CITY | Garden City |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Andrew Dutton, Esq., P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7916 S. Broadway Avenue |
| WORKSITE ADDRESS2 | Suite 150 |
| LCA CASE WORKLOC1 CITY | Tyler |
| WORKSITE COUNTY | SMITH |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75703 |
| LCA CASE WAGE RATE FROM | 106.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 89.97 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
