| CASE NUMBER | I-200-24268-361582 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/24/2024 |
| DECISION DATE | 10/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Lead Dental Associate |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/24/2025 |
| END DATE | 2/23/2028 |
| 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 | JDC Healthcare PLLC |
| TRADE NAME DBA | Jefferson Dental & Orthodontics |
| EMPLOYER ADDRESS1 | 3030 LBJ Freeway, Ste. 1700 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Dallas |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75234 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19562924835 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Na |
| EMPLOYER POC FIRST NAME | Yoonki |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP of HR |
| EMPLOYER POC ADDRESS1 | 3030 LBJ Freeway |
| EMPLOYER POC ADDRESS2 | Ste. 1700 |
| EMPLOYER POC CITY | Dallas |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75234 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19562924835 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | yna@jdcweb.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sethi-Wadhwa |
| AGENT ATTORNEY FIRST NAME | Princy |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2234 Emery Down Dr |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Allen |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75013 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14698881604 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | princy@princylaw.com |
| LAWFIRM NAME BUSINESS NAME | Sethi-Wadhwa Law, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 301 NW 28th St. #113 |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Fort Worth |
| WORKSITE COUNTY | TARRANT |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 76164 |
| WAGE RATE OF PAY FROM | $180,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $175,053.00 |
| 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 | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | Yes |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | Yes |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sethi-Wadhwa |
| PREPARER FIRST NAME | Princy |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Sethi-Wadhwa Law, PLLC |
| PREPARER EMAIL | princy@princylaw.com |
| BEGIN DATE CONVERTED | 2025-02-24 |
