| LCA CASE NUMBER | I-200-19308-125434 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-04 |
| DECISION DATE | 2019-11-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-18 |
| END DATE | 2022-11-17 |
| 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 | Greater Philadelphia Health Action, Inc. |
| EMPLOYER ADDRESS1 | 1401 S. 31st Street |
| EMPLOYER CITY | Philadelphia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19146 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +12159252400 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Joerger |
| EMPLOYER POC FIRST NAME | Charles |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 1401 S. 31st Street |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19146 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12159252400 |
| EMPLOYER POC EMAIL | cjoerger@gphainc.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | tnavoichick@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 432 N. 6th Street |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19146 |
| LCA CASE WAGE RATE FROM | 117603.0 |
| LCA CASE WAGE RATE TO | 130000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117603.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
