| LCA CASE NUMBER | I-200-23042-767556 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-10 |
| DECISION DATE | 2023-02-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-02 |
| END DATE | 2026-06-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Jade Dental LLC |
| EMPLOYER ADDRESS1 | 12450 SW Pioneer Ln |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Beaverton |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97008 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15105014317 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Chuang |
| EMPLOYER POC FIRST NAME | Patrick |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 12450 SW Pioneer Ln |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Beaverton |
| EMPLOYER POC STATE | OR |
| EMPLOYER POC POSTAL CODE | 97008 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15105014317 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lall |
| AGENT ATTORNEY FIRST NAME | Sumeet |
| AGENT ATTORNEY ADDRESS1 | 14721 S. Vermont Avenue |
| AGENT ATTORNEY CITY | Gardena |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90247 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13109956731 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Sumeet Lall |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12450 SW Pioneer Ln |
| WORKSITE ADDRESS2 | Suite B |
| LCA CASE WORKLOC1 CITY | Beaverton |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97008 |
| LCA CASE WAGE RATE FROM | 69.26 |
| LCA CASE WAGE RATE TO | 70 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 69.26 |
| 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 |
| PREPARER LAST NAME | Lee |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Law Office of Sumeet Lall |
| PREPARER EMAIL | [email protected] |
