| LCA CASE NUMBER | I-200-22269-494235 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-26 |
| DECISION DATE | 2022-10-03 |
| 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 | 2022-10-10 |
| END DATE | 2025-10-09 |
| 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 | Keystone Dental Practice Wauwatosa, LLC |
| TRADE NAME DBA | Wauwatosa Family Dental |
| EMPLOYER ADDRESS1 | 920 Indian Spring Drive |
| EMPLOYER CITY | Delafield |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53018 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14144852893 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Kevin |
| EMPLOYER POC FIRST NAME | Tammy |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS1 | 920 Indian Spring Drive |
| EMPLOYER POC CITY | Delafield |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53018 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12628730510 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chenhalls |
| AGENT ATTORNEY FIRST NAME | Kelley |
| AGENT ATTORNEY MIDDLE NAME | Ann |
| AGENT ATTORNEY ADDRESS1 | 11270 W. Park Place, Suite 200 |
| AGENT ATTORNEY CITY | Milwaukee |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 53224 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | WI |
| AGENT ATTORNEY PHONE | 14148928298 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Chenhalls Nissen, S.C. |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11904 W. North Ave. |
| WORKSITE ADDRESS2 | #105 |
| LCA CASE WORKLOC1 CITY | Wauwatosa |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53226 |
| LCA CASE WAGE RATE FROM | 125 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 66.93 |
| PW UNIT OF PAY | Hour |
| 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 |
