| CASE NUMBER | I-200-24289-408509 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/15/2024 |
| DECISION DATE | 10/22/2024 |
| 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 | 2/14/2025 |
| END DATE | 2/13/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Sandhya Anantuni DMD PC |
| TRADE NAME DBA | Anantuni Family Dental |
| EMPLOYER ADDRESS1 | 5590 W. Chandler Blvd. |
| EMPLOYER ADDRESS2 | #1 |
| EMPLOYER CITY | Chandler |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14802521876 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Anantuni |
| EMPLOYER POC FIRST NAME | Krishna |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS1 | 5590 W. Chandler Blvd. |
| EMPLOYER POC ADDRESS2 | #1 |
| EMPLOYER POC CITY | Chandler |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85226 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14808214000 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | anantuni@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Grzegorek |
| AGENT ATTORNEY FIRST NAME | Kathleen |
| AGENT ATTORNEY MIDDLE NAME | Lynn |
| AGENT ATTORNEY ADDRESS1 | 707 Wilshire Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12136278997 |
| AGENT ATTORNEY PHONE EXT | 185 |
| AGENT ATTORNEY EMAIL ADDRESS | kathy@sggimmigration.com |
| LAWFIRM NAME BUSINESS NAME | SGG Immigration LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 5590 W. Chandler Boulevard, #1 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Chandler |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85226 |
| WAGE RATE OF PAY FROM | $143,600.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $153,600.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $138,611.00 |
| PW UNIT OF PAY | Year |
| 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 | 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 | Grzegorek |
| PREPARER FIRST NAME | Kathleen |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | SGG Immigration LLP |
| PREPARER EMAIL | Kathy@sggimmigration.com |
| BEGIN DATE CONVERTED | 2025-02-14 |
