| LCA CASE NUMBER | I-200-21218-507359 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-06 |
| DECISION DATE | 2021-08-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CHURCH STREET DENTAL P.C. |
| EMPLOYER ADDRESS1 | 109 CHURCH STREET |
| EMPLOYER ADDRESS2 | SUITE 1 |
| EMPLOYER CITY | CHICOPEE |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1020 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12143369764 |
| NAICS CODE | 624310 |
| EMPLOYER POC LAST NAME | KHAN |
| EMPLOYER POC FIRST NAME | MOHAMMAD |
| EMPLOYER POC MIDDLE NAME | ABBAS |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 109 CHURCH STREET |
| EMPLOYER POC ADDRESS2 | SUITE 1 |
| EMPLOYER POC CITY | CHICOPEE |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1020 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12143369764 |
| EMPLOYER POC EMAIL | mohdabbaskhan@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | L'ESPERANCE |
| AGENT ATTORNEY FIRST NAME | JOHN |
| AGENT ATTORNEY ADDRESS1 | 1875 NW CORPORATE BLVD |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | BOCA RATON |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33431 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15619622114 |
| AGENT ATTORNEY EMAIL ADDRESS | KNWEST@DUANEMORRIS.COM |
| LAWFIRM NAME BUSINESS NAME | DUANE MORRIS LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 109 CHURCH STREET |
| WORKSITE ADDRESS2 | SUITE 1 |
| LCA CASE WORKLOC1 CITY | CHICOPEE |
| WORKSITE COUNTY | CHICOPEE CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1020 |
| LCA CASE WAGE RATE FROM | 165256 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 165256 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
