| LCA CASE NUMBER | I-200-23230-277575 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-18 |
| DECISION DATE | 2023-08-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-21 |
| END DATE | 2026-08-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Springfield Dentistry and Braces PC |
| EMPLOYER ADDRESS1 | 405 Armory Street |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14137321112 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Tavano |
| EMPLOYER POC FIRST NAME | Joanne |
| EMPLOYER POC JOB TITLE | CFO/COO |
| EMPLOYER POC ADDRESS1 | 5 Mount Royal Avenue |
| EMPLOYER POC ADDRESS2 | Building 5, Suite 300 |
| EMPLOYER POC CITY | Marlborough |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01752 |
| 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 | 405 Armory Street |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | SPRINGFIELD CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01104 |
| LCA CASE WAGE RATE FROM | 112.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 47.57 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | McGregor |
| PREPARER FIRST NAME | Hilary |
| PREPARER BUSINESS NAME | Mintz |
| PREPARER EMAIL | [email protected] |
