| LCA CASE NUMBER | I-200-20253-812491 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-09 |
| DECISION DATE | 2020-09-16 |
| 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 | 2020-10-24 |
| END DATE | 2023-10-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Wood River Health Services, Inc. |
| EMPLOYER ADDRESS1 | 823 Main Street |
| EMPLOYER CITY | Hope Valley |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02832 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14015392461 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Croke |
| EMPLOYER POC FIRST NAME | Alison |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS1 | 823 Main Street |
| EMPLOYER POC CITY | Hope Valley |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 02832 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14013879648 |
| 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 | 02459 |
| 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, Esq. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 823 Main Street |
| LCA CASE WORKLOC1 CITY | Hope Valley |
| WORKSITE COUNTY | HOPKINTON |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 02832 |
| LCA CASE WAGE RATE FROM | 74.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 60.24 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
