| LCA CASE NUMBER | I-200-22213-387847 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-01 |
| DECISION DATE | 2022-08-08 |
| 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 | 2022-08-15 |
| END DATE | 2025-08-14 |
| 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 | SMILES OF HYATTSVILLE |
| EMPLOYER ADDRESS1 | 6525 BELCREST RD. |
| EMPLOYER ADDRESS2 | SUITE 212 |
| EMPLOYER CITY | HYATTSVILLE |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20782 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13019272900 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | CHELLAPAN |
| EMPLOYER POC FIRST NAME | SRIRAM |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 6525 BELCREST RD. |
| EMPLOYER POC ADDRESS2 | SUITE 212 |
| EMPLOYER POC CITY | HYATTSVILLE |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20782 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13019272900 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SHAH-KHAN |
| AGENT ATTORNEY FIRST NAME | MAZHER |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 597315 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60659 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17735836300 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF MAZHER M SHAH-KHAN |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | ILLINOIS SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6525 BELCREST RD. |
| WORKSITE ADDRESS2 | SUITE 212 |
| LCA CASE WORKLOC1 CITY | HYATTSVILLE |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20782 |
| LCA CASE WAGE RATE FROM | 95 |
| LCA CASE WAGE RATE TO | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 83.67 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SHAH-KHAN |
| PREPARER FIRST NAME | MAZHER |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | LAW OFFICES OF MAZHER M SHAH-KHAN |
| PREPARER EMAIL | [email protected] |
