| LCA CASE NUMBER | I-200-22247-454635 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-03 |
| DECISION DATE | 2022-09-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Operations Manager |
| SOC CODE | 11-1021.00 |
| SOC TITLE | General and Operations Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pandya Professional Dental Corporation |
| TRADE NAME DBA | SmilePro Dental |
| EMPLOYER ADDRESS1 | 8014 North Lower Sacramento Rd |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Stockton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12094511133 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Pandya |
| EMPLOYER POC FIRST NAME | Sunen |
| EMPLOYER POC JOB TITLE | DDS/OWNER |
| EMPLOYER POC ADDRESS1 | 8014 North Lower Sacramento Rd |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Stockton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12094511133 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BAXLEY |
| AGENT ATTORNEY FIRST NAME | SHIRLEY |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2121 West Jester Way |
| AGENT ATTORNEY CITY | Post Falls |
| AGENT ATTORNEY STATE | ID |
| AGENT ATTORNEY POSTAL CODE | 83854 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17143288090 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shirley's Immigration Service |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8014 North Lower Sacramento Rd |
| WORKSITE ADDRESS2 | Suite B |
| LCA CASE WORKLOC1 CITY | Stockton |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95210 |
| LCA CASE WAGE RATE FROM | 55557 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 55557 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Baxley |
| PREPARER FIRST NAME | Shirley |
| PREPARER BUSINESS NAME | Shirley's Immigration Service |
| PREPARER EMAIL | [email protected] |
