| LCA CASE NUMBER | I-200-21025-030929 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-01-25 |
| DECISION DATE | 2023-07-28 |
| ORIGINAL CERT DATE | 2021-02-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-15 |
| END DATE | 2024-02-14 |
| 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 | MC Dental LLC |
| EMPLOYER ADDRESS1 | 2608 SE J Street |
| EMPLOYER CITY | Bentonville |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72712 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18478334955 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Parikh |
| EMPLOYER POC FIRST NAME | Roshan |
| EMPLOYER POC JOB TITLE | President, MC Dental |
| EMPLOYER POC ADDRESS1 | 2608 SE J Street |
| EMPLOYER POC CITY | Bentonville |
| EMPLOYER POC STATE | AR |
| EMPLOYER POC POSTAL CODE | 72712 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18478334955 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | NIEVES |
| AGENT ATTORNEY FIRST NAME | JENNY |
| AGENT ATTORNEY ADDRESS1 | 1400 BROADWAY |
| AGENT ATTORNEY ADDRESS2 | FRAGOMEN, DEL REY, BERNSEN & LOEWY, LLP |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12126888555 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN & LOEWY LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NYS APPELLATE DIVISION, SECOND DEPARTMENT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | WAL-MART ASSOCIATES, INC. |
| WORKSITE ADDRESS1 | 125 Pavilion Pkwy |
| WORKSITE ADDRESS2 | Walmart Supercenter |
| LCA CASE WORKLOC1 CITY | Fayetteville |
| WORKSITE COUNTY | FAYETTE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30214 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122616 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Angel |
| PREPARER FIRST NAME | Ariana |
| PREPARER BUSINESS NAME | Fragomen, Del Rey, Bernsen & Loewy, LLP |
| PREPARER EMAIL | [email protected] |
