| LCA CASE NUMBER | I-200-19322-151551 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-18 |
| DECISION DATE | 2019-11-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-25 |
| END DATE | 2022-11-24 |
| 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 | Susquehanna River Valley Dental Health Clinic |
| EMPLOYER ADDRESS1 | 355 Market Street |
| EMPLOYER ADDRESS2 | Suite 1 |
| EMPLOYER CITY | Sunbury |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +15702867500 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Sosland |
| EMPLOYER POC FIRST NAME | Philip |
| EMPLOYER POC JOB TITLE | DMD, Chairman of the Board |
| EMPLOYER POC ADDRESS1 | 335 Market Street |
| EMPLOYER POC ADDRESS2 | Suite 1 |
| EMPLOYER POC CITY | Sunbury |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +15702867500 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Rhoads |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main St. |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18047753824.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 335 Market Street |
| WORKSITE ADDRESS2 | Suite 1 |
| LCA CASE WORKLOC1 CITY | Sunbury |
| WORKSITE COUNTY | NORTHUMBERLAND |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17801 |
| LCA CASE WAGE RATE FROM | 125000.0 |
| LCA CASE WAGE RATE TO | 125000.01 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 119496.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | King |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | H |
| PREPARER BUSINESS NAME | McCandlish Holton PC |
| PREPARER EMAIL | [email protected] |
