| LCA CASE NUMBER | I-200-22334-612449 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-11-30 |
| DECISION DATE | 2022-12-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Orthodontist |
| SOC CODE | 29-1023.00 |
| SOC TITLE | Orthodontists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-12-09 |
| END DATE | 2025-12-08 |
| 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 | Great River Orthodontic Specialists, SC |
| TRADE NAME DBA | Great River Orthodontics |
| EMPLOYER ADDRESS1 | 3902 Oakwood Hills Parkway |
| EMPLOYER CITY | Eau Claire |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17155987491 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Komula |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC MIDDLE NAME | Edward |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 3902 Oakwood Hills Parkway |
| EMPLOYER POC CITY | Eau Claire |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17155987491 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2211 Hamline Avenue N |
| LCA CASE WORKLOC1 CITY | Roseville |
| WORKSITE COUNTY | RAMSEY |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55113 |
| LCA CASE WAGE RATE FROM | 128.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 128.75 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
