| LCA CASE NUMBER | I-200-20063-371893 |
| 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 | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-02 |
| END DATE | 2023-06-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NICHOLAS COSMETIC DENTAL CENTER INC |
| EMPLOYER ADDRESS1 | 1128 WALNUT STREET |
| EMPLOYER ADDRESS2 | SUITE 500 |
| EMPLOYER CITY | PHILADELPHIA |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12152791193 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MALIK |
| EMPLOYER POC FIRST NAME | RAKSHANDA |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 1128 WALNUT STREET |
| EMPLOYER POC ADDRESS2 | SUITE 500 |
| EMPLOYER POC CITY | PHILADELPHIA |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12152791193 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BOUDIA |
| AGENT ATTORNEY FIRST NAME | JOHN |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 15875 MIDDLEBELT ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 200 |
| AGENT ATTORNEY CITY | LIVONIA |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48154 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12483548440.0 |
| AGENT ATTORNEY PHONE EXT | 206.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | JOHN J. BOUDIA & ASSOCIATES PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1128 WALNUT STREET |
| WORKSITE ADDRESS2 | SUITE 500 |
| LCA CASE WORKLOC1 CITY | PHILADELPHIA |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19107 |
| LCA CASE WAGE RATE FROM | 117603.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117603.0 |
| PW UNIT OF PAY | Year |
| 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 |
