| LCA CASE NUMBER | I-200-20063-370906 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-03 |
| DECISION DATE | 2020-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-03-16 |
| END DATE | 2023-03-15 |
| 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 | American Dental Care, P.A. |
| EMPLOYER ADDRESS1 | 1450 Clements Bridge Road |
| EMPLOYER CITY | Deptford |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8096 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18568456222 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Blumenthal |
| EMPLOYER POC FIRST NAME | Edan |
| EMPLOYER POC JOB TITLE | Dental Director |
| EMPLOYER POC ADDRESS1 | 1450 Clements Bridge Road |
| EMPLOYER POC CITY | Deptford |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8096 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16106796109 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Pollins |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Goldblum and Pollins, PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 151 S. 69th Street |
| LCA CASE WORKLOC1 CITY | Upper Darby |
| WORKSITE COUNTY | DELAWARE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19082 |
| LCA CASE WAGE RATE FROM | 33.39 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 33.39 |
| PW UNIT OF PAY | Hour |
| 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 Employment |
