| LCA CASE NUMBER | I-200-19276-068776 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-03 |
| DECISION DATE | 2019-10-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-10-10 |
| END DATE | 2022-10-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | LAKE DENTAL SERVICES, P.A. |
| TRADE NAME DBA | TOWNCARE DENTAL OF ALTAMONTE SPRINGS |
| EMPLOYER ADDRESS1 | 820 STATE ROAD 434 NORTH |
| EMPLOYER ADDRESS2 | SUITE B |
| EMPLOYER CITY | ALTAMONTE SPRINGS |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32714 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +19419553150 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | GALLO |
| EMPLOYER POC FIRST NAME | DONALD |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | D.M.D., MANAGER |
| EMPLOYER POC ADDRESS1 | 820 STATE ROAD 434 NORTH |
| EMPLOYER POC ADDRESS2 | SUITE B |
| EMPLOYER POC CITY | ALTAMONTE SPRINGS |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32714 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +19419553150 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | TORRES VALENCIA |
| AGENT ATTORNEY FIRST NAME | LILIANA |
| AGENT ATTORNEY ADDRESS1 | 101 E. KENNEDY BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 1700 |
| AGENT ATTORNEY CITY | TAMPA |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18132211366.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MANEY GORDON ZELLER, P.A. |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 820 STATE ROAD 434 NORTH |
| WORKSITE ADDRESS2 | SUITE B |
| LCA CASE WORKLOC1 CITY | ALTAMONTE SPRINGS |
| WORKSITE COUNTY | SEMINOLE |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32714 |
| LCA CASE WAGE RATE FROM | 69.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 69.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | TORRES VALENCIA |
| PREPARER FIRST NAME | LILIANA |
| PREPARER BUSINESS NAME | MANEY GORDON ZELLER, P.A.A |
| PREPARER EMAIL | [email protected] |
