| LCA CASE NUMBER | I-200-20099-469803 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-08 |
| DECISION DATE | 2020-04-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist (Managing Clinical Director) |
| 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 | ID Dental Associates PC |
| TRADE NAME DBA | Aspen Dental 1 |
| EMPLOYER ADDRESS1 | 2818 S 25th E |
| EMPLOYER CITY | Idaho Falls |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83404 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18773050393 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bough |
| EMPLOYER POC FIRST NAME | Tina |
| EMPLOYER POC JOB TITLE | Paralegal |
| EMPLOYER POC ADDRESS1 | c/o Aspen Dental Management, Inc. |
| EMPLOYER POC ADDRESS2 | 281 Sanders Creek Parkway |
| EMPLOYER POC CITY | East Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18773050393 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | O'Donoghue |
| AGENT ATTORNEY FIRST NAME | Robin |
| AGENT ATTORNEY MIDDLE NAME | Dana |
| AGENT ATTORNEY ADDRESS1 | O'Donoghue Law, LLC |
| AGENT ATTORNEY ADDRESS2 | 2067 Massachusetts Avenue, 5th Floor |
| AGENT ATTORNEY CITY | Cambridge |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2140 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16174929898.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | O'Donoghue Law, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 532 Pole Line Road |
| LCA CASE WORKLOC1 CITY | Twin Falls |
| WORKSITE COUNTY | TWIN FALLS |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83301 |
| LCA CASE WAGE RATE FROM | 156000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128606.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
