| LCA CASE NUMBER | I-200-22263-482123 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-20 |
| DECISION DATE | 2022-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Periodontist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-10-10 |
| END DATE | 2025-10-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Konstantin Pavolotsky DDS Inc |
| EMPLOYER ADDRESS1 | 5843 Mayfield Road |
| EMPLOYER CITY | Mayfield Heights |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44124 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14406849424 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Pavolotsky |
| EMPLOYER POC FIRST NAME | Konstantin |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 5843 Mayfield Road |
| EMPLOYER POC CITY | Mayfield Heights |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44124 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14406849424 |
| EMPLOYER POC EMAIL | lpavolotsk@aol.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sarmiento |
| AGENT ATTORNEY FIRST NAME | Juan Paolo |
| AGENT ATTORNEY MIDDLE NAME | Pasia |
| AGENT ATTORNEY ADDRESS1 | 5005 Rockside Road |
| AGENT ATTORNEY ADDRESS2 | Suite 600 |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12165733712 |
| AGENT ATTORNEY EMAIL ADDRESS | jp@sarmientoimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Sarmiento Immigration Law Firm |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5843 Mayfield Road |
| LCA CASE WORKLOC1 CITY | Mayfield Heights |
| WORKSITE COUNTY | CUYAHOGA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44124 |
| LCA CASE WAGE RATE FROM | 125 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 74.01 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
