| LCA CASE NUMBER | I-200-20095-460515 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-04 |
| DECISION DATE | 2020-04-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Orthodontic Staffing and Support, LLC |
| TRADE NAME DBA | Diamond Braces |
| EMPLOYER ADDRESS1 | 17 Summit Ave |
| EMPLOYER CITY | Hackensack |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12013088181 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Belkowski |
| EMPLOYER POC FIRST NAME | Maria |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 17 Summit Ave |
| EMPLOYER POC CITY | Hackensack |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12013088181 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Baik |
| AGENT ATTORNEY FIRST NAME | Peter |
| AGENT ATTORNEY ADDRESS1 | 400 Kelby Street |
| AGENT ATTORNEY ADDRESS2 | 19th Floor |
| AGENT ATTORNEY CITY | Fort Lee |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7024 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12014610031.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Song Law Firm LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 30-97 Steinway St |
| LCA CASE WORKLOC1 CITY | Astoria |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11103 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 93.53 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Baik |
| PREPARER FIRST NAME | Peter |
| PREPARER BUSINESS NAME | Song Law Firm LLC |
| PREPARER EMAIL | [email protected] |
