| LCA CASE NUMBER | I-200-20182-687134 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-30 |
| DECISION DATE | 2020-07-08 |
| 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 | 2020-08-18 |
| END DATE | 2023-08-17 |
| 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 | Community Health Center, Inc. |
| EMPLOYER ADDRESS1 | 134 State Street |
| EMPLOYER CITY | Meriden |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06450 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12032372229 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Chapman |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | Manager of Talent Acquisitions |
| EMPLOYER POC ADDRESS1 | 19 Grand Street |
| EMPLOYER POC CITY | Middletown |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06457 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12032372229 |
| EMPLOYER POC PHONE EXT | 6421.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 165 Miller Street |
| LCA CASE WORKLOC1 CITY | Meriden |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06450 |
| LCA CASE WAGE RATE FROM | 143084.0 |
| LCA CASE WAGE RATE TO | 175750.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 113984.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | Hospital & Healthcare Compensation Service, Oakland, NJ |
| PW SURVEY NAME | 2018-2019 HCS Hospital/Physician Salary & Benefit Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Afshar |
| PREPARER FIRST NAME | Rojia |
| PREPARER BUSINESS NAME | Leete, Kosto & Wizner, LLP |
| PREPARER EMAIL | [email protected] |
