| LCA CASE NUMBER | I-200-23339-543876 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-12-05 |
| DECISION DATE | 2023-12-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-12-17 |
| END DATE | 2026-12-16 |
| 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 | Prime Dental Care LLC |
| TRADE NAME DBA | Prime Dental Care |
| EMPLOYER ADDRESS1 | 435 W. Coliseum Blvd. |
| EMPLOYER CITY | Fort Wayne |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46805 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12602636200 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Godi |
| EMPLOYER POC FIRST NAME | Vinay |
| EMPLOYER POC MIDDLE NAME | Kumar |
| EMPLOYER POC JOB TITLE | Owner-Member |
| EMPLOYER POC ADDRESS1 | 635 W. Coliseum Blvd. |
| EMPLOYER POC CITY | Fort Wayne |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46805 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12602636200 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Patel |
| AGENT ATTORNEY FIRST NAME | Beeraj |
| AGENT ATTORNEY ADDRESS1 | 7330 Heritage Village Plaza |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Gainesville |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20155 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15712482566 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | KPPB LAW LLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of VA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 635 W. Coliseum Blvd. |
| LCA CASE WORKLOC1 CITY | Fort Wayne |
| WORKSITE COUNTY | ALLEN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46805 |
| LCA CASE WAGE RATE FROM | 126500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 126402 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Patel |
| PREPARER FIRST NAME | Beeraj |
| PREPARER BUSINESS NAME | KPPB Law LLC |
| PREPARER EMAIL | [email protected] |