| LCA CASE NUMBER | I-200-22234-429309 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-22 |
| DECISION DATE | 2022-08-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-11-15 |
| END DATE | 2025-11-14 |
| 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 | Peninsula Dental, LLC |
| EMPLOYER ADDRESS1 | 26670 Centerview Drive |
| EMPLOYER ADDRESS2 | Unit 19 |
| EMPLOYER CITY | Millsboro |
| EMPLOYER STATE | DE |
| EMPLOYER POSTAL CODE | 19966 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13023922449 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Moore |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | T |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 26670 Centerview Drive |
| EMPLOYER POC ADDRESS2 | Unit 19 |
| EMPLOYER POC CITY | Millsboro |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19966 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13023922449 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jolic |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 6050 Oak Tree Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Independence |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12163289878 |
| AGENT ATTORNEY PHONE EXT | 107 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Martin Jolic & Associates, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 26670 Centerview Drive |
| WORKSITE ADDRESS2 | Unit 19 |
| LCA CASE WORKLOC1 CITY | Millsboro |
| WORKSITE COUNTY | SUSSEX |
| LCA CASE WORKLOC1 STATE | DE |
| WORKSITE POSTAL CODE | 19966 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 173035 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
