| LCA CASE NUMBER | I-200-18072-369286 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/13/18 |
| DECISION DATE | 3/19/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/8/18 |
| EMPLOYMENT END DATE | 9/7/21 |
| LCA CASE EMPLOYER NAME | PAUL M POLYVIOU DDS PC |
| EMPLOYER BUSINESS DBA | POLYVIOU FAMILY DENTISTRY |
| EMPLOYER ADDRESS | 3784 DIX TOLEDO ROAD |
| EMPLOYER CITY | LINCOLN PARK |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48146 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3133882400 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | MCCARROLL, KATE |
| AGENT ATTORNEY CITY | DETROIT |
| AGENT ATTORNEY STATE | MI |
| LCA CASE JOB TITLE | DENTIST (PEDIATRIC) |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 75,338.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 75,338.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LINCOLN PARK |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48146 |
