| LCA CASE NUMBER | I-200-20160-634709 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-08 |
| DECISION DATE | 2020-06-15 |
| 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 | 2020-07-06 |
| END DATE | 2023-07-06 |
| 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 | Penn 1 Family Dental Inc |
| TRADE NAME DBA | Not applicable |
| EMPLOYER ADDRESS1 | 1404 Point Breeze Avenue |
| EMPLOYER CITY | Philadelphia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19146 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12153442141 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Bhatia |
| EMPLOYER POC FIRST NAME | Surbhi |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 114 Tyler Dr |
| EMPLOYER POC CITY | Feasterville, Trevose |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12153442141 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Dume |
| AGENT ATTORNEY FIRST NAME | Jillian |
| AGENT ATTORNEY MIDDLE NAME | Mariel |
| AGENT ATTORNEY ADDRESS1 | 389 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 204 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10016 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16469187700.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Labrada Dume & Associates NYC LLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Appellate Division of the First Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1404 Point Breeze Ave |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19146 |
| LCA CASE WAGE RATE FROM | 46.0 |
| LCA CASE WAGE RATE TO | 60.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 45.65 |
| PW UNIT OF PAY | Hour |
| 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 |
