| LCA CASE NUMBER | I-200-20024-274485 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-01-24 |
| DECISION DATE | 2020-03-11 |
| ORIGINAL CERT DATE | 2020-01-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Dental Associate |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-01-25 |
| END DATE | 2023-01-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | The Kid's Dentist, P.A. |
| EMPLOYER ADDRESS1 | 9351 Lakeside Blvd. |
| EMPLOYER ADDRESS2 | Suite 202 |
| EMPLOYER CITY | Owings Mills |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21117 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14433949100 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Davis |
| EMPLOYER POC FIRST NAME | Nneka |
| EMPLOYER POC JOB TITLE | Pediatric Dentist/Owner |
| EMPLOYER POC ADDRESS1 | 9351 Lakeside Blvd. |
| EMPLOYER POC ADDRESS2 | Suite 202 |
| EMPLOYER POC CITY | Owings Mills |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21117 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14433949100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mendoza |
| AGENT ATTORNEY FIRST NAME | Radlyn |
| AGENT ATTORNEY MIDDLE NAME | Christine |
| AGENT ATTORNEY ADDRESS1 | 909 FIRST COLONIAL RD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 100 |
| AGENT ATTORNEY CITY | Virginia Beach |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23454 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17574649224.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Gardner & Mendoza, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 9351 Lakeside Blvd. |
| WORKSITE ADDRESS2 | Suite 202 |
| LCA CASE WORKLOC1 CITY | Owings Mills |
| WORKSITE COUNTY | BALTIMORE |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21117 |
| LCA CASE WAGE RATE FROM | 112.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 78.27 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| 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 |
