| LCA CASE NUMBER | I-200-20182-688196 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-30 |
| DECISION DATE | 2020-07-08 |
| ORIGINAL CERT DATE | 2020-07-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Prosthodontist |
| SOC CODE | 29-1024.00 |
| SOC TITLE | Prosthodontists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-22 |
| END DATE | 2023-08-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Advanced Dentistry of Richmond PLLC |
| EMPLOYER ADDRESS1 | 7204 Glen Forest Drive |
| EMPLOYER ADDRESS2 | Suite #203 |
| EMPLOYER CITY | Richmond |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18047671002 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Klostermyer |
| EMPLOYER POC FIRST NAME | Ursula |
| EMPLOYER POC JOB TITLE | DDS, PhD / Owner |
| EMPLOYER POC ADDRESS1 | 7204 Glen Forest Drive |
| EMPLOYER POC ADDRESS2 | Suite #203 |
| EMPLOYER POC CITY | Richmond |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19082402093 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Fortier |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 790 N. Water Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14142716560.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Michael Best & Friedrich LLP |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7617 Little River Turnpike |
| WORKSITE ADDRESS2 | Suite 910 |
| LCA CASE WORKLOC1 CITY | Annandale |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22003 |
| LCA CASE WAGE RATE FROM | 80.0 |
| LCA CASE WAGE RATE TO | 90.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.68 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 | Nelson |
| PREPARER FIRST NAME | Jamie |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Michael Best & Friedrich LLP |
| PREPARER EMAIL | [email protected] |
