| LCA CASE NUMBER | I-200-22144-206079 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-24 |
| DECISION DATE | 2022-06-01 |
| 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 | 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 | Centerville Dental Center Ohio, LLC |
| TRADE NAME DBA | CENTERVILLE DENTAL CENTER |
| EMPLOYER ADDRESS1 | 9346 Dayton-Lebanon Pike |
| EMPLOYER CITY | Centerville |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45458 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19374354150 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | NGUYEN |
| EMPLOYER POC FIRST NAME | Vinh |
| EMPLOYER POC JOB TITLE | Member |
| EMPLOYER POC ADDRESS1 | 9346 Dayton-Lebanon Pike |
| EMPLOYER POC CITY | Centerville |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45458 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14022029741 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khosla |
| AGENT ATTORNEY FIRST NAME | P. Michael |
| AGENT ATTORNEY ADDRESS1 | 3116-C, West Montgomery Road |
| AGENT ATTORNEY ADDRESS2 | Suite 316 |
| AGENT ATTORNEY CITY | Maineville |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45039 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133107471 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | The Khosla Immigration Law Group, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9346 Dayton-Lebanon Pike |
| LCA CASE WORKLOC1 CITY | Centerville |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45458 |
| LCA CASE WAGE RATE FROM | 180000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 133120 |
| 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 |
| PREPARER LAST NAME | Khosla |
| PREPARER FIRST NAME | P. Michael |
| PREPARER BUSINESS NAME | The Khosla Immigration Law Group, P.C. |
| PREPARER EMAIL | [email protected] |
