| LCA CASE NUMBER | I-200-23099-916101 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-09 |
| DECISION DATE | 2023-04-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist-General |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | Cornerstone Dental Specialties Inc |
| TRADE NAME DBA | Cornerstone Group |
| EMPLOYER ADDRESS1 | 9950 Irvine Center Drive |
| EMPLOYER CITY | Irvine |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92618 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18772373636 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Khalili |
| EMPLOYER POC FIRST NAME | Nick |
| EMPLOYER POC MIDDLE NAME | N. |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 9950 Irvine Center Drive |
| EMPLOYER POC CITY | Irvine |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92618 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18008100268 |
| 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 | Baxley |
| AGENT ATTORNEY ADDRESS2 | 1350 Bush River Rd Suite A #206 |
| AGENT ATTORNEY CITY | Columbia |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29210 |
| 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 | True |
| SECONDARY ENTITY BUSINESS NAME | Blaine Dentistry |
| WORKSITE ADDRESS1 | 1384 109th Ave NE |
| WORKSITE ADDRESS2 | STE-200 |
| LCA CASE WORKLOC1 CITY | Blaine |
| WORKSITE COUNTY | ANOKA |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55434 |
| LCA CASE WAGE RATE FROM | 104374 |
| LCA CASE WAGE RATE TO | 110000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 104374 |
| 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 MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Shirley's Immigration Service |
| PREPARER EMAIL | [email protected] |
