| LCA CASE NUMBER | I-200-22161-268435 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-10 |
| DECISION DATE | 2022-06-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Periodontist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-06-20 |
| END DATE | 2025-06-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fort Worth Periodontal Specialists, PLLC |
| EMPLOYER ADDRESS1 | 3509 Hulen St. |
| EMPLOYER ADDRESS2 | Suite 205 |
| EMPLOYER CITY | Fort Worth |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18177370721 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Hsu |
| EMPLOYER POC FIRST NAME | Cindy |
| EMPLOYER POC JOB TITLE | Partner |
| EMPLOYER POC ADDRESS1 | 3509 Hulen St. |
| EMPLOYER POC ADDRESS2 | Suite 205 |
| EMPLOYER POC CITY | Fort Worth |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18177370721 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Castro |
| AGENT ATTORNEY FIRST NAME | Kristen |
| AGENT ATTORNEY ADDRESS1 | 10440 N. Central Expressway |
| AGENT ATTORNEY ADDRESS2 | Suite 970 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75231 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12149831181 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Huddleston Law Group PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3509 Hulen St. |
| WORKSITE ADDRESS2 | Suite 205 |
| LCA CASE WORKLOC1 CITY | Fort Worth |
| WORKSITE COUNTY | TARRANT |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76107 |
| LCA CASE WAGE RATE FROM | 240.38 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 110.94 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 | Castro |
| PREPARER FIRST NAME | Kristen |
| PREPARER BUSINESS NAME | Huddleston Law Group PLLC |
| PREPARER EMAIL | [email protected] |
