| LCA CASE NUMBER | I-200-16165-027740 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/13/16 |
| DECISION DATE | 6/17/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/7/16 |
| EMPLOYMENT END DATE | 9/6/19 |
| LCA CASE EMPLOYER NAME | MOUNT GRACE DENTAL SPECIALIST INC. |
| EMPLOYER ADDRESS | 38 EXCHANGE STREET |
| EMPLOYER CITY | ATHOL |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01331 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 9782498545 |
| AGENT ATTORNEY NAME | LEGO, KELLIE |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | MD |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAIC CODE | 621210 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 138,216.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 138,216.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ATHOL |
| WORKSITE COUNTY | WORCESTER |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01331 |
