| CASE NUMBER | I-200-24242-302582 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/29/2024 |
| DECISION DATE | 9/6/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/6/2024 |
| END DATE | 9/5/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Peach Smiles |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4825 Sugarloaf Pkwy |
| EMPLOYER ADDRESS2 | Ste A |
| EMPLOYER CITY | Lawrenceville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17706096620 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | GUDIPATI |
| EMPLOYER POC FIRST NAME | Praveen |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 4825 Sugarloaf Pkwy |
| EMPLOYER POC ADDRESS2 | Ste A |
| EMPLOYER POC CITY | Lawrenceville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30044 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17706096620 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | drpraveenbds@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | SHARMA |
| AGENT ATTORNEY FIRST NAME | Asheesh |
| AGENT ATTORNEY MIDDLE NAME | Kumar |
| AGENT ATTORNEY ADDRESS1 | 2255 Cumberland Pkwy SE, Bldg 1200 |
| AGENT ATTORNEY ADDRESS2 | Suite 120 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30339 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +14043482829 |
| AGENT ATTORNEY PHONE EXT | 4 |
| AGENT ATTORNEY EMAIL ADDRESS | asheesh@elawimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Sharma Law Offices, LLC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4825 Sugarloaf Pkwy |
| WORKSITE ADDRESS2 | Ste A |
| WORKSITE CITY | Lawrenceville |
| WORKSITE COUNTY | GWINNETT |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 30044 |
| WAGE RATE OF PAY FROM | 200,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $154,482.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Casey |
| PREPARER FIRST NAME | Ciara |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Sharma Law Offices, LLC |
| PREPARER EMAIL | ciara@elawimmigration.com |
| BEGIN DATE CONVERTED | 2024-06-09 |
