| LCA CASE NUMBER | I-200-21154-364674 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-03 |
| DECISION DATE | 2021-06-10 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | Excel Dental, Inc. |
| EMPLOYER ADDRESS1 | 7409 University Blvd |
| EMPLOYER CITY | Coraopolis |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14122644609 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Jinna |
| EMPLOYER POC FIRST NAME | Dhileep |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 7409 University Blvd |
| EMPLOYER POC CITY | Coraopolis |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14122644609 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | McCarroll |
| AGENT ATTORNEY FIRST NAME | Kate |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 500 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13139651286 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kerr Russell & Weber, PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5990 University Blvd |
| WORKSITE ADDRESS2 | Ste. 28 |
| LCA CASE WORKLOC1 CITY | Coraopolis |
| WORKSITE COUNTY | ALLEGHENY |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15108 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104437 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
