| LCA CASE NUMBER | I-200-23089-891647 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-30 |
| DECISION DATE | 2023-04-06 |
| 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 | 2023-04-01 |
| END DATE | 2026-03-31 |
| 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 | Dhaliwal DDS PLLC |
| TRADE NAME DBA | Four Corners Family Dentistry |
| EMPLOYER ADDRESS1 | 23866 SE Kent Kangley Rd |
| EMPLOYER CITY | Maple Valley |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14253104175 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Dhaliwal |
| EMPLOYER POC FIRST NAME | Manpreet |
| EMPLOYER POC MIDDLE NAME | Singh |
| EMPLOYER POC JOB TITLE | Sole Member of Dhaliwal DDS PLLC |
| EMPLOYER POC ADDRESS1 | 10725 SE 256th Street |
| EMPLOYER POC ADDRESS2 | Ste. 1 |
| EMPLOYER POC CITY | Kent |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12064294652 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pawar |
| AGENT ATTORNEY FIRST NAME | Karandeep |
| AGENT ATTORNEY MIDDLE NAME | Singh |
| AGENT ATTORNEY ADDRESS1 | 15 S Grady Way |
| AGENT ATTORNEY ADDRESS2 | Suite 408 |
| AGENT ATTORNEY CITY | Renton |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98057 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14252765070 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Pawar Law LLC |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | State of Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 23866 SE Kent Kangley Rd |
| LCA CASE WORKLOC1 CITY | Maple Valley |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98038 |
| LCA CASE WAGE RATE FROM | 176000 |
| LCA CASE WAGE RATE TO | 182000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 175261 |
| PW UNIT OF PAY | Year |
| 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 Employment |
| PREPARER LAST NAME | PAWAR |
| PREPARER FIRST NAME | KARANDEEP |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | PAWAR LAW, LLC |
| PREPARER EMAIL | [email protected] |