| LCA CASE NUMBER | I-200-22104-070709 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-14 |
| DECISION DATE | 2022-04-21 |
| 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 | 2022-09-09 |
| END DATE | 2025-09-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pediatric Dental Group II, LLC |
| EMPLOYER ADDRESS1 | 2221 E. Bijou Street |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Colorado Springs |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80909 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17196667331 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Lee |
| EMPLOYER POC FIRST NAME | Jamie |
| EMPLOYER POC JOB TITLE | Provider Relations Coordinator |
| EMPLOYER POC ADDRESS1 | 2221 E. Bijou Street |
| EMPLOYER POC ADDRESS2 | Suite 100 |
| EMPLOYER POC CITY | Colorado Springs |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80909 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17196667331 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pena |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY ADDRESS1 | 510 W. Riverside Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 800 |
| AGENT ATTORNEY CITY | Spokane |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 99201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15097474040 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kutak Rock LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1200 South Air Depot Rd. |
| WORKSITE ADDRESS2 | Suite A |
| LCA CASE WORKLOC1 CITY | Midwest City |
| WORKSITE COUNTY | OKLAHOMA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73110 |
| LCA CASE WAGE RATE FROM | 184730 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132538 |
| PW UNIT OF PAY | Year |
| 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 |
