| LCA CASE NUMBER | I-200-19311-132720 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-07 |
| DECISION DATE | 2019-11-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PEDIATRIC DENTIST |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-11-08 |
| END DATE | 2022-06-02 |
| 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 | BEL AIR DENTAL HEALTH ASSOCIATES |
| EMPLOYER ADDRESS1 | 2018 ROCK SPRING ROAD |
| EMPLOYER CITY | FOREST HILL |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21050 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14108794444 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | SCHALL |
| EMPLOYER POC FIRST NAME | JENNIFER |
| EMPLOYER POC JOB TITLE | ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 2018 ROCK SPRING ROAD |
| EMPLOYER POC CITY | FOREST HILL |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21050 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14108794444 |
| EMPLOYER POC EMAIL | JENSCHALL@BELAIRSMILE.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | MENDOZA |
| AGENT ATTORNEY FIRST NAME | RADLYN |
| AGENT ATTORNEY ADDRESS1 | 909 FIRST COLONIAL ROAD |
| AGENT ATTORNEY ADDRESS2 | STE 100 |
| AGENT ATTORNEY CITY | VIRGINIA BEACH |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23454 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17574649224.0 |
| AGENT ATTORNEY EMAIL ADDRESS | RADLYN@GMLAW.NET |
| LAWFIRM NAME BUSINESS NAME | GARDNER & MENDOZA, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF VIRGINIA |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2018 ROCK SPRING ROAD |
| LCA CASE WORKLOC1 CITY | FOREST HILL |
| WORKSITE COUNTY | HARFORD |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21050 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 150.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 78.27 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
