| LCA CASE NUMBER | I-200-20079-418827 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-18 |
| DECISION DATE | 2020-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist & Clinical Director |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-15 |
| END DATE | 2023-04-14 |
| 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 | Mechanicsburg Dental & Dentures, Inc. |
| TRADE NAME DBA | Dental, Dentures & Implants |
| EMPLOYER ADDRESS1 | 5510 Carlisle Pike |
| EMPLOYER ADDRESS2 | Suite 4 |
| EMPLOYER CITY | Mechanicsburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17050 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17177663113 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Pennington |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 5510 Carlisle Pike |
| EMPLOYER POC ADDRESS2 | Suite 4 |
| EMPLOYER POC CITY | Mechanicsburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17050 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17169540141 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Knapp Ponce |
| AGENT ATTORNEY FIRST NAME | Lucrecia |
| AGENT ATTORNEY MIDDLE NAME | Zagorka |
| AGENT ATTORNEY ADDRESS1 | 2300 Wehrle Drive |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166341010.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Berardi Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5510 Carlisle Pike |
| WORKSITE ADDRESS2 | Suite 4 |
| LCA CASE WORKLOC1 CITY | Mechanicsburg |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17050 |
| LCA CASE WAGE RATE FROM | 125112.0 |
| LCA CASE WAGE RATE TO | 350000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 125112.0 |
| 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 |
| PREPARER LAST NAME | Knapp Ponce |
| PREPARER FIRST NAME | Lucrecia |
| PREPARER MIDDLE INITIAL | Z |
| PREPARER BUSINESS NAME | Berardi Immigration Law |
| PREPARER EMAIL | [email protected] |
