| LCA CASE NUMBER | I-200-20156-625744 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-03 |
| DECISION DATE | 2020-06-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST, GENERAL |
| 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 | A.L. SHAH DDS INC |
| TRADE NAME DBA | CREATIVE SMILES |
| EMPLOYER ADDRESS1 | 137 W. CHAPMAN AVE |
| EMPLOYER ADDRESS2 | SUITE A |
| EMPLOYER CITY | FULLERTON |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92832 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17147386001 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | SHAH |
| EMPLOYER POC FIRST NAME | AMIT |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | PRESIDENT/DDS |
| EMPLOYER POC ADDRESS1 | 137 W. CHAPMAN AVE |
| EMPLOYER POC ADDRESS2 | SUITE A |
| EMPLOYER POC CITY | FULLERTON |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92832 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17147386001 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Baxley |
| AGENT ATTORNEY FIRST NAME | Shirley |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2121 West Jester Way |
| AGENT ATTORNEY CITY | POST FALL |
| AGENT ATTORNEY STATE | ID |
| AGENT ATTORNEY POSTAL CODE | 83854 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17143288090.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shirley's Immigration Service |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 137 W. CHAPMAN AVE |
| WORKSITE ADDRESS2 | SUITE A |
| LCA CASE WORKLOC1 CITY | FULLERTON |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92832 |
| LCA CASE WAGE RATE FROM | 63877.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 63877.0 |
| 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 |
| PREPARER LAST NAME | Baxley |
| PREPARER FIRST NAME | Shirley |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Shirley's Immigration Service |
| PREPARER EMAIL | [email protected] |
