| LCA CASE NUMBER | I-200-20168-657945 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-16 |
| DECISION DATE | 2020-06-23 |
| 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 | 2020-12-15 |
| END DATE | 2023-12-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Raynham Family Dental, Inc. |
| EMPLOYER ADDRESS1 | 302 Broadway |
| EMPLOYER ADDRESS2 | Suite 10 |
| EMPLOYER CITY | Raynham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2767 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088247211 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Bae |
| EMPLOYER POC FIRST NAME | Sang |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 302 Broadway |
| EMPLOYER POC ADDRESS2 | Suite 10 |
| EMPLOYER POC CITY | Raynham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2767 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15088247211 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Kornfeld |
| AGENT ATTORNEY FIRST NAME | Monique |
| AGENT ATTORNEY MIDDLE NAME | Hope |
| AGENT ATTORNEY ADDRESS1 | 189 Wells Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 302 |
| AGENT ATTORNEY CITY | Newton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2459 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173235049.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | Law Office of Monique Kornfeld |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SJC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 302 Broadway |
| WORKSITE ADDRESS2 | Suite 10 |
| LCA CASE WORKLOC1 CITY | Raynham |
| WORKSITE COUNTY | RAYNHAM |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2767 |
| LCA CASE WAGE RATE FROM | 217246.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107557.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
