| LCA CASE NUMBER | I-200-22173-303266 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-22 |
| DECISION DATE | 2022-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-07-11 |
| END DATE | 2025-07-10 |
| 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 | Dearborn Family Smiles, PLLC |
| EMPLOYER ADDRESS1 | 5005 Schaefer Rd |
| EMPLOYER CITY | Dearborn |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48126 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13132515272 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Razvi |
| EMPLOYER POC FIRST NAME | Mohsin |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 5005 Schaefer Rd |
| EMPLOYER POC CITY | Dearborn |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48126 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13132515272 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | McCarroll |
| AGENT ATTORNEY FIRST NAME | Kate |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 500 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13139651286 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kerr Russell & Weber, PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5005 Schaefer Rd |
| LCA CASE WORKLOC1 CITY | Dearborn |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48126 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 |
