| LCA CASE NUMBER | I-200-17072-977295 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/13/2017 |
| DECISION DATE | 3/17/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/15/2017 |
| EMPLOYMENT END DATE | 4/14/2020 |
| LCA CASE EMPLOYER NAME | KIDS DENTAL VILLAGE P.C. |
| EMPLOYER ADDRESS | 39-05 61ST STREET |
| EMPLOYER CITY | WOODSIDE |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11377 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7185775058 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BERGER, DAN |
| AGENT ATTORNEY CITY | NORTHAMPTON |
| AGENT ATTORNEY STATE | MA |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 50.50 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 50.50 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | WOODSIDE |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11377 |
