| LCA CASE NUMBER | I-200-20322-915608 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-17 |
| DECISION DATE | 2020-11-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-02-01 |
| 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 | Western Tidewater Free Clinic |
| EMPLOYER ADDRESS1 | 2019 Meade Parkway |
| EMPLOYER CITY | Suffolk |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23434 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17579231060 |
| EMPLOYER PHONE EXT | 7001 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hart |
| EMPLOYER POC FIRST NAME | Chet |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS 1 | 2019 Meade Parkway |
| EMPLOYER POC CITY | Suffolk |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23434 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17579231060 |
| EMPLOYER POC PHONE EXT | 7001 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nikova |
| AGENT ATTORNEY FIRST NAME | Nelli |
| AGENT ATTORNEY ADDRESS1 | 79 Dartmouth Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18322736636 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nelli Nikova P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | TEXAS Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2019 Meade Parkway |
| LCA CASE WORKLOC1 CITY | Suffolk |
| WORKSITE COUNTY | SUFFOLK CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23434 |
| LCA CASE WAGE RATE FROM | 75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 66.47 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
