| LCA CASE NUMBER | I-200-20154-620728 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-02 |
| DECISION DATE | 2023-03-06 |
| ORIGINAL CERT DATE | 2020-06-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| 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 | MODERN DENTAL PROFESSIONALS - INDIANA, P.C. |
| EMPLOYER ADDRESS1 | 100 SPECTRUM CENTER DRIVE |
| EMPLOYER ADDRESS2 | SUITE 1500 |
| EMPLOYER CITY | IRVINE |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92618 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17144281379 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | ARMENTA |
| EMPLOYER POC FIRST NAME | KRISTIN |
| EMPLOYER POC JOB TITLE | SENIOR MANAGER, RECRUITMENT OPERATIONS |
| EMPLOYER POC ADDRESS1 | 100 SPECTRUM CENTER DRIVE |
| EMPLOYER POC ADDRESS2 | SUITE 1500 |
| EMPLOYER POC CITY | IRVINE |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92618 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17148245009 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Miller |
| AGENT ATTORNEY FIRST NAME | Blake |
| AGENT ATTORNEY MIDDLE NAME | Garrick |
| AGENT ATTORNEY ADDRESS1 | 18401 Von Karman Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 255 |
| AGENT ATTORNEY CITY | IRVINE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19492610209 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 304 NORRIS AVENUE |
| LCA CASE WORKLOC1 CITY | NORTH VERNON |
| WORKSITE COUNTY | JENNINGS |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 44035 |
| LCA CASE WAGE RATE FROM | 104312 |
| LCA CASE WAGE RATE TO | 108000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104312 |
| 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 | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
