| LCA CASE NUMBER | I-200-20148-605973 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-27 |
| DECISION DATE | 2020-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Gentle Family Dentistry, LLC, PA |
| EMPLOYER ADDRESS1 | 13 Ladyslipper Ln |
| EMPLOYER CITY | Falmouth |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12077991414 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Hwang |
| EMPLOYER POC FIRST NAME | Jin |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 13 Ladyslipper Ln |
| EMPLOYER POC CITY | Falmouth |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 4105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12077991414 |
| EMPLOYER POC EMAIL | jin@beautifulsmile.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chang |
| AGENT ATTORNEY FIRST NAME | Judy |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 640 E. Palisade Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 301 |
| AGENT ATTORNEY CITY | Englewood Cliffs |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 7632 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18665261027.0 |
| AGENT ATTORNEY EMAIL ADDRESS | contact@judychanglaw.com |
| LAWFIRM NAME BUSINESS NAME | Judy Chang Law Firm |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4 Bisbee St. |
| LCA CASE WORKLOC1 CITY | Lisbon |
| WORKSITE COUNTY | LISBON TOWN |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4250 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
