| LCA CASE NUMBER | I-200-23265-370181 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-21 |
| DECISION DATE | 2023-09-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lynn Pediatric Dentistry and Orthodontics, LLC |
| EMPLOYER ADDRESS1 | 77 Broad St |
| EMPLOYER CITY | Lynn |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01902 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17815992900 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Park |
| EMPLOYER POC FIRST NAME | Hubert |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 77 Broad St |
| EMPLOYER POC CITY | Lynn |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01902 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17815992900 |
| EMPLOYER POC EMAIL | hpark@broadsmilespdo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Paick |
| AGENT ATTORNEY FIRST NAME | Ieback |
| AGENT ATTORNEY ADDRESS1 | 272 State Rt. 5 |
| AGENT ATTORNEY CITY | Fort Lee |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 07024 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12012243400 |
| AGENT ATTORNEY EMAIL ADDRESS | paicklaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Shim & Paick, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | Supreme Court of New Jersey |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Lynnfield Pediatric Dentistry LLC |
| WORKSITE ADDRESS1 | 6 Kimball Lane |
| WORKSITE ADDRESS2 | Ste 140 |
| LCA CASE WORKLOC1 CITY | Lynnfield |
| WORKSITE COUNTY | ESSEX |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01940 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 67.18 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
