| CASE NUMBER | I-200-24190-179508 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/8/2024 |
| DECISION DATE | 7/15/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/23/2024 |
| END DATE | 9/22/2027 |
| 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 | HAR Group Doctors PLLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1412 Durham Ave |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Wolfforth |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79382 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18326432174 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Harmouche |
| EMPLOYER POC FIRST NAME | Omar |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Managing Member |
| EMPLOYER POC ADDRESS1 | 1412 Durham Ave |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Wolfforth |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79382 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +1832643217 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | omarharmouche@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Cannon |
| AGENT ATTORNEY FIRST NAME | Alec |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 380 N 200 W |
| AGENT ATTORNEY ADDRESS2 | Ste 209 |
| AGENT ATTORNEY CITY | Bountiful |
| AGENT ATTORNEY STATE | UT |
| AGENT ATTORNEY POSTAL CODE | 84010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12147209555 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | acannon@mcgregorfirm.com |
| LAWFIRM NAME BUSINESS NAME | McGregor & Oblad PLLC |
| STATE OF HIGHEST COURT | UT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Dr. Omar Harmouche Slaton PLLC |
| WORKSITE ADDRESS1 | 105 W Lubbock St |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Slaton |
| WORKSITE COUNTY | LUBBOCK |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 79364 |
| WAGE RATE OF PAY FROM | 42.22 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $42.22 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 Employment |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-11-09 |
