| LCA CASE NUMBER | I-200-20199-721392 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-17 |
| DECISION DATE | 2020-07-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lead Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-03 |
| END DATE | 2023-08-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Northern Valley Indian Health Inc |
| EMPLOYER ADDRESS1 | 257 North Butte Street |
| EMPLOYER CITY | Willows |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95988 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15304332600 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Laackmann |
| EMPLOYER POC FIRST NAME | Stacy |
| EMPLOYER POC JOB TITLE | HR Director |
| EMPLOYER POC ADDRESS1 | 257 North Butte Street |
| EMPLOYER POC CITY | Willows |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95988 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15306614400 |
| EMPLOYER POC PHONE EXT | 1074.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Senanayake |
| AGENT ATTORNEY FIRST NAME | Dakshini |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | PO Box 770278 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17132781677.0 |
| AGENT ATTORNEY PHONE EXT | 108.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dakshini R. Sen P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court of New York |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 207 N Butte St |
| LCA CASE WORKLOC1 CITY | Willows |
| WORKSITE COUNTY | GLENN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95988 |
| LCA CASE WAGE RATE FROM | 81.92 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 66.22 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
