| LCA CASE NUMBER | I-200-21293-656033 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-20 |
| DECISION DATE | 2021-10-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Health Educator |
| SOC CODE | 21-1091.00 |
| SOC TITLE | Health Educators |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-01 |
| END DATE | 2024-11-30 |
| 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 | Memorial Dental Associates, PLLC |
| TRADE NAME DBA | Prestige Family Dentistry and Kidzone Dental |
| EMPLOYER ADDRESS1 | 11451 Katy Fwy |
| EMPLOYER ADDRESS2 | Suite 105 |
| EMPLOYER CITY | Houston |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77079 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17134658239 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Shahbazi |
| EMPLOYER POC FIRST NAME | Shervin |
| EMPLOYER POC MIDDLE NAME | Amini |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 11451 Katy Fwy |
| EMPLOYER POC ADDRESS2 | Suite 105 |
| EMPLOYER POC CITY | Houston |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77079 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17134658239 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nanayakkara |
| AGENT ATTORNEY FIRST NAME | Chiranjaya |
| AGENT ATTORNEY MIDDLE NAME | W. |
| AGENT ATTORNEY ADDRESS1 | PO Box 1607 |
| AGENT ATTORNEY CITY | Stafford |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77497 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12812652522 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Willy, Nanayakkara and Associates |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Alabama |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11451 Katy Fwy |
| WORKSITE ADDRESS2 | Suite 105 |
| LCA CASE WORKLOC1 CITY | Houston |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77079 |
| LCA CASE WAGE RATE FROM | 24.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.7 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Singhe |
| PREPARER FIRST NAME | Sulaksh |
| PREPARER BUSINESS NAME | Willy, Nanayakkara & Associates |
| PREPARER EMAIL | [email protected] |
