| LCA CASE NUMBER | I-200-20161-639120 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-09 |
| DECISION DATE | 2020-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-09 |
| END DATE | 2023-06-07 |
| 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 | Smile USA, The Center for Reconstructive Dentistry, P.A. |
| TRADE NAME DBA | Malo Smile USA |
| EMPLOYER ADDRESS1 | 815 Salem Avenue |
| EMPLOYER CITY | Elizabeth |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7208 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16463380314 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Iyer |
| EMPLOYER POC FIRST NAME | Shankar |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 815 Salem Avenue |
| EMPLOYER POC CITY | Elizabeth |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7208 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16463380314 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lepore Taylor |
| AGENT ATTORNEY FIRST NAME | Filomena |
| AGENT ATTORNEY ADDRESS1 | 61 South Paramus Road |
| AGENT ATTORNEY ADDRESS2 | Suite 422 |
| AGENT ATTORNEY CITY | Paramus |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7652 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12013011802.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Lepore Taylor Fox LLP |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 815 Salem Avenue |
| LCA CASE WORKLOC1 CITY | Elizabeth |
| WORKSITE COUNTY | UNION |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7208 |
| LCA CASE WAGE RATE FROM | 93.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 79.1 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 Employment |
| PREPARER LAST NAME | Cook |
| PREPARER FIRST NAME | Eric |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Lepore Taylor Fox LLP |
| PREPARER EMAIL | [email protected] |
