| LCA CASE NUMBER | I-200-19046-392834 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-02-20 |
| DECISION DATE | 2019-02-26 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-08-17 |
| EMPLOYMENT END DATE | 2022-08-16 |
| 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 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Kids First Pediatric Dentistry, PC |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | KATEMCCARROLL |
| AGENT ATTORNEY CITY | DETROIT |
| AGENT ATTORNEY STATE | MI |
| LCA CASE JOB TITLE | DENTIST (PEDIATRIC) |
| SOC CODE | 29-1029 |
| SOC NAME | DENTISTS, ALL OTHER SPECIALISTS |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 111259 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 2 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 325000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Lincoln Park |
| WORKSITE COUNTY | Wayne |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48146 |
| WILLFUL VIOLATOR | False |
