| LCA CASE NUMBER | I-200-21074-146545 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-30 |
| END DATE | 2024-07-29 |
| 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 OF FRANKLIN COUNTY |
| TRADE NAME DBA | N / A |
| EMPLOYER ADDRESS1 | 450 West River Street |
| EMPLOYER CITY | Orange |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1364 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14133258500 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | VAN DER VELDEN |
| EMPLOYER POC FIRST NAME | ALLISON |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 450 WEST RIVER STREET |
| EMPLOYER POC CITY | ORANGE |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01364 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14133258500 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KHANBABAI |
| AGENT ATTORNEY FIRST NAME | MAHSA |
| AGENT ATTORNEY ADDRESS1 | 115 MAIN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 1B |
| AGENT ATTORNEY CITY | NORTH EASTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2356 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15082972065 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | KHANBABAI IMMIGRATION LAW |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPERIOR COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 450 WEST RIVER STREET |
| LCA CASE WORKLOC1 CITY | ORANGE |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1364 |
| LCA CASE WAGE RATE FROM | 119000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 118914 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | N / A |
