| LCA CASE NUMBER | I-200-20337-934826 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-02 |
| DECISION DATE | 2020-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-12-10 |
| END DATE | 2023-12-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Crosby Family Dental Inc |
| EMPLOYER ADDRESS1 | 14270 FM 2100 |
| EMPLOYER CITY | Crosby |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77532 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12813284900 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Perez |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS 1 | 14270 FM 2100 |
| EMPLOYER POC CITY | Crosby |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77532 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13462120767 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Min |
| AGENT ATTORNEY ADDRESS1 | 295 PIERSON AVENUE |
| AGENT ATTORNEY CITY | EDISON |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8837 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17322058600 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Chugh LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 14270 FM 2100 Rd |
| LCA CASE WORKLOC1 CITY | Crosby |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77532 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kim |
| PREPARER FIRST NAME | Min |
| PREPARER BUSINESS NAME | Chugh LLP |
| PREPARER EMAIL | [email protected] |
