| LCA CASE NUMBER | I-200-22270-496087 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-27 |
| DECISION DATE | 2022-10-04 |
| 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 | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Everett Family Dental, PC |
| EMPLOYER ADDRESS1 | 459 Broadway |
| EMPLOYER CITY | Everett |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02149 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16173892005 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Tavano |
| EMPLOYER POC FIRST NAME | Joanne |
| EMPLOYER POC JOB TITLE | CEO/CFO |
| EMPLOYER POC ADDRESS1 | 459 Broadway |
| EMPLOYER POC CITY | Everett |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02149 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19785801524 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Quill |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | F |
| AGENT ATTORNEY ADDRESS1 | One Financial Center |
| AGENT ATTORNEY ADDRESS2 | 41st Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173484401 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Mintz |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 459 Broadway |
| LCA CASE WORKLOC1 CITY | Everett |
| WORKSITE COUNTY | EVERETT CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02149 |
| LCA CASE WAGE RATE FROM | 40 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 34.42 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Brooks-Gabriel |
| PREPARER FIRST NAME | Macauley |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Mintz |
| PREPARER EMAIL | [email protected] |