| LCA CASE NUMBER | I-200-20115-516415 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-24 |
| DECISION DATE | 2020-05-01 |
| 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 | 2020-04-30 |
| END DATE | 2023-04-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PENN VALLEY DENTAL LLC |
| EMPLOYER ADDRESS1 | 408 N KEYSTONE AVE |
| EMPLOYER CITY | SAYRE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18440 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15708885811 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MIRZA |
| EMPLOYER POC FIRST NAME | UROOJ |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 408 N KEYSTONE AVE |
| EMPLOYER POC CITY | SAYRE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18440 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17326145906 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | JETHMALANI |
| AGENT ATTORNEY FIRST NAME | ANIL |
| AGENT ATTORNEY ADDRESS1 | 42 BROADWAY |
| AGENT ATTORNEY ADDRESS2 | SUITE 1548 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12124069257.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jethmalani & Nallaseth PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 408 N KEYSTONE AVE |
| LCA CASE WORKLOC1 CITY | SAYRE |
| WORKSITE COUNTY | BRADFORD |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18840 |
| LCA CASE WAGE RATE FROM | 135450.0 |
| LCA CASE WAGE RATE TO | 169000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92872.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
