| LCA CASE NUMBER | I-200-22112-098217 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-22 |
| DECISION DATE | 2022-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dental Office Manager |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Angel Heart & Soul Dentistry, PLLC |
| TRADE NAME DBA | Angel Heart & Soul Dentistry |
| EMPLOYER ADDRESS1 | 2942 PATRICK HENRY DR |
| EMPLOYER CITY | FALLS CHURCH |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22044-2904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15853541168 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Imao |
| EMPLOYER POC FIRST NAME | Josemari |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 2942 PATRICK HENRY DR |
| EMPLOYER POC CITY | FALLS CHURCH |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22044-2904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15853541168 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lachica |
| AGENT ATTORNEY FIRST NAME | Leandro |
| AGENT ATTORNEY MIDDLE NAME | Bolesa |
| AGENT ATTORNEY ADDRESS1 | 139 Fulton Street |
| AGENT ATTORNEY ADDRESS2 | Suite 819 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10038 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129644273 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Leandro B. Lachica |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2942 Patrick Henry Drive |
| LCA CASE WORKLOC1 CITY | Falls Church |
| WORKSITE COUNTY | FALLS CHURCH CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22044-2904 |
| LCA CASE WAGE RATE FROM | 44 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 43.51 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
