| LCA CASE NUMBER | I-200-21140-330488 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-20 |
| DECISION DATE | 2021-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| 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 | Danbury Plaza Family Dental P.C. |
| EMPLOYER ADDRESS1 | 72 Newtown Road |
| EMPLOYER CITY | Danbury |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6810 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037786700 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Mitchell |
| EMPLOYER POC FIRST NAME | Terri |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS 1 | 72 Newtown Rd. |
| EMPLOYER POC CITY | Danbury |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06810 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16175673800 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tietjen |
| AGENT ATTORNEY FIRST NAME | Rhonda |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 50 CONGRESS STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 200 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175425111 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ross Silverman Snyder Tietjen LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | MA SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 72 Newtown Road |
| LCA CASE WORKLOC1 CITY | Danbury |
| WORKSITE COUNTY | DANBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6810 |
| LCA CASE WAGE RATE FROM | 159890 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159890 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
