| LCA CASE NUMBER | I-200-20155-625278 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-03 |
| DECISION DATE | 2020-06-15 |
| ORIGINAL CERT DATE | 2020-06-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| 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 | Jason Pehling DDS, MS, PC |
| TRADE NAME DBA | TMJ Orofacial Disorders Center |
| EMPLOYER ADDRESS1 | 901 Boren Avenue |
| EMPLOYER ADDRESS2 | Suite 1776 |
| EMPLOYER CITY | Seattle |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12063638240 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Coppola |
| EMPLOYER POC FIRST NAME | Deanna |
| EMPLOYER POC JOB TITLE | Dentist |
| EMPLOYER POC ADDRESS1 | 901 Boren Avenue |
| EMPLOYER POC ADDRESS2 | Suite 1776 |
| EMPLOYER POC CITY | Seattle |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12063638240 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Cheetham |
| AGENT ATTORNEY FIRST NAME | Janet |
| AGENT ATTORNEY MIDDLE NAME | Holste |
| AGENT ATTORNEY ADDRESS1 | 1201 Third Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3400 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12066542235.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ryan, Swanson & Cleveland, PLLC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 901 Boren Avenue |
| WORKSITE ADDRESS2 | Suite 1776 |
| LCA CASE WORKLOC1 CITY | Seattle |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98104 |
| LCA CASE WAGE RATE FROM | 120000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 100776.0 |
| 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 |
