| LCA CASE NUMBER | I-200-19280-074222 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-07 |
| DECISION DATE | 2020-10-06 |
| ORIGINAL CERT DATE | 2019-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2019-10-07 |
| END DATE | 2022-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | JEFFREY L TAYLOR DDS & ASSOCIATES, P.C. |
| EMPLOYER ADDRESS1 | 8757 GEORGIA AVE. |
| EMPLOYER ADDRESS2 | SUITE 530 |
| EMPLOYER CITY | SILVER SPRING |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20910 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14844554550 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | BUDKE |
| EMPLOYER POC FIRST NAME | CARL |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT HUMAN RESOURCES |
| EMPLOYER POC ADDRESS 1 | 1777 S. HARRISON STREET |
| EMPLOYER POC ADDRESS 2 | SUITE 1400 |
| EMPLOYER POC CITY | DENVER |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13032856027 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SABAGH |
| AGENT ATTORNEY FIRST NAME | DENYSE |
| AGENT ATTORNEY ADDRESS1 | 505 9TH STREET, NW |
| AGENT ATTORNEY ADDRESS2 | SUITE 1000 |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12027767817 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | DUANE MORRIS LLP |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8757 Georgia Ave., Ste. 530 |
| WORKSITE ADDRESS2 | Silver Spring Family Smiles |
| LCA CASE WORKLOC1 CITY | Silver Spring |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20910 |
| LCA CASE WAGE RATE FROM | 174283 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 151549 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
