| LCA CASE NUMBER | I-200-23262-358736 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-19 |
| DECISION DATE | 2023-09-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| 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 | Sussex Dental LLC |
| TRADE NAME DBA | Sussex Family Dental |
| EMPLOYER ADDRESS1 | W249N5245 Executive Dr |
| EMPLOYER ADDRESS2 | Suite 206 |
| EMPLOYER CITY | Sussex |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53089 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12622460100 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bueno |
| EMPLOYER POC FIRST NAME | Ivana |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | W249N5245 Executive Dr. |
| EMPLOYER POC CITY | Sussex |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53089 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17737989382 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kempster |
| AGENT ATTORNEY FIRST NAME | Alec |
| AGENT ATTORNEY MIDDLE NAME | Martin |
| AGENT ATTORNEY ADDRESS1 | 332 S. Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 1428 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13123419730 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kempster, Corcoran, Quiceno & Lenz- Calvo |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Illinois Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | W249N5245 Executive Dr |
| LCA CASE WORKLOC1 CITY | Sussex |
| WORKSITE COUNTY | WAUKESHA |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53089 |
| LCA CASE WAGE RATE FROM | 65645 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 65645 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
