| LCA CASE NUMBER | I-200-21090-187384 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-31 |
| DECISION DATE | 2021-04-07 |
| 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 | 2021-04-02 |
| END DATE | 2024-04-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Millburn Dental Cosmetic, LLC |
| EMPLOYER ADDRESS1 | 425 Essex Street |
| EMPLOYER CITY | Millburn |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7041 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19735354300 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Greyf |
| EMPLOYER POC FIRST NAME | Arthur |
| EMPLOYER POC JOB TITLE | President & Owner |
| EMPLOYER POC ADDRESS 1 | 425 Essex Street |
| EMPLOYER POC CITY | Millburn |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 07041 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19735354300 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hertel |
| AGENT ATTORNEY FIRST NAME | Mark |
| AGENT ATTORNEY MIDDLE NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 2221 Camino del Rio S |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16192999600 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Feldman Feldman & Associates, APC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 425 Essex Street |
| LCA CASE WORKLOC1 CITY | Millburn |
| WORKSITE COUNTY | ESSEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 7041 |
| LCA CASE WAGE RATE FROM | 51 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 49.74 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
