| LCA CASE NUMBER | I-200-22066-954443 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-06 |
| DECISION DATE | 2022-03-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHILIP R. MASCIA DDS, PC |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-30 |
| END DATE | 2023-06-09 |
| 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 | PHILIP R. MASCIA DDS, PC |
| TRADE NAME DBA | THE GREATER DANBURY CENTER FOR ENDODONTICS |
| EMPLOYER ADDRESS1 | 360 FEDERAL ROAD |
| EMPLOYER CITY | BROOKFIELD |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 06804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12037753344 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MASCIA |
| EMPLOYER POC FIRST NAME | PHILIP |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | OWNER / ENDODONTIST |
| EMPLOYER POC ADDRESS1 | 360 FEDERAL ROAD |
| EMPLOYER POC CITY | BROOKFIELD |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06804 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12037753344 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nichols |
| AGENT ATTORNEY FIRST NAME | Samira |
| AGENT ATTORNEY ADDRESS1 | POBOX 9 |
| AGENT ATTORNEY CITY | Gallatin |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37066 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16154738812 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law office of Samira Nichols |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 360 Federal Road |
| LCA CASE WORKLOC1 CITY | Brookfield |
| WORKSITE COUNTY | FAIRFIELD |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 06804 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE TO | 125 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Nichols |
| PREPARER FIRST NAME | Samira |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Law Office of Samira Nichols |
| PREPARER EMAIL | [email protected] |
