| LCA CASE NUMBER | I-200-20357-974395 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-22 |
| DECISION DATE | 2020-12-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-10 |
| END DATE | 2024-03-09 |
| 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 | Beacon Family Dental LLC |
| EMPLOYER ADDRESS1 | 1691 Beacon St |
| EMPLOYER ADDRESS2 | Suite 104 |
| EMPLOYER CITY | Brookline |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2445 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16177386188 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Liu |
| EMPLOYER POC FIRST NAME | Xinyan |
| EMPLOYER POC MIDDLE NAME | Lucy |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 1691 Beacon St |
| EMPLOYER POC ADDRESS 2 | Suite 104 |
| EMPLOYER POC CITY | Brookline |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02445 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16177386188 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SU |
| AGENT ATTORNEY FIRST NAME | Chenping |
| AGENT ATTORNEY ADDRESS1 | 1065 6th Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1025 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129206947 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | NYIS Law Firm |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1691 Beacon St |
| WORKSITE ADDRESS2 | Suite 104 |
| LCA CASE WORKLOC1 CITY | Brookline |
| WORKSITE COUNTY | BROOKLINE |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2445 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 92.59 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
