| LCA CASE NUMBER | I-200-17109-698124 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/20/2017 |
| DECISION DATE | 4/26/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/3/2017 |
| EMPLOYMENT END DATE | 9/2/2020 |
| LCA CASE EMPLOYER NAME | MAVERICK FAMILY DENTAL, P.C |
| EMPLOYER BUSINESS DBA | DR. DENTAL OF NEW ENGLAND |
| EMPLOYER ADDRESS | 45 MAVERICK SQUARE |
| EMPLOYER CITY | BOSTON |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02128 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 6175673800 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | TIETJEN, RHONDA |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 85,842.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 85,842.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | WEST HARTFORD |
| WORKSITE COUNTY | HARTFORD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06119 |
