| LCA CASE NUMBER | I-200-22166-282780 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-15 |
| DECISION DATE | 2022-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| 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 | Smiles 4 Kids, P.C. |
| EMPLOYER ADDRESS1 | 3315 Pacific Avenue SE |
| EMPLOYER ADDRESS2 | Unit A1 |
| EMPLOYER CITY | Olympia |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17206034787 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Reams |
| EMPLOYER POC FIRST NAME | Susanne |
| EMPLOYER POC JOB TITLE | VP of HR and Compliance |
| EMPLOYER POC ADDRESS1 | 4643 S. Ulster St |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Denver |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80237 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17206034787 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Koski |
| AGENT ATTORNEY FIRST NAME | Ceridwen |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2000 S Colorado Blvd TWR 3 |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Denver |
| AGENT ATTORNEY STATE | CO |
| AGENT ATTORNEY POSTAL CODE | 80222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13037646823 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | CO |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3315 Pacific Avenue SE |
| WORKSITE ADDRESS2 | Unit A1 |
| LCA CASE WORKLOC1 CITY | Olympia |
| WORKSITE COUNTY | THURSTON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98501 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 132350 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Gigliotti |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Ogletree Deakins |
| PREPARER EMAIL | [email protected] |
