| LCA CASE NUMBER | I-200-19029-016027 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-01-31 |
| DECISION DATE | 2019-10-22 |
| ORIGINAL CERT DATE | 2019-02-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021 |
| SOC TITLE | DENTISTS, GENERAL |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-02-07 |
| END DATE | 2022-02-06 |
| 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 | MAVERICK FAMILY DENTAL, P.C. |
| TRADE NAME DBA | DR. DENTAL OF NEW ENGLAND |
| EMPLOYER ADDRESS1 | 45 MAVERICK SQUARE |
| EMPLOYER CITY | BOSTON |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2128 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6175673800 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | ACOSTA |
| EMPLOYER POC FIRST NAME | SALLY |
| EMPLOYER POC JOB TITLE | MANAGER |
| EMPLOYER POC ADDRESS1 | 939 WOLCOTT STREET |
| EMPLOYER POC ADDRESS2 | UNIT 5B |
| EMPLOYER POC CITY | WATERBURY |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6705 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 2039928100 |
| EMPLOYER POC EMAIL | SALLYA@MYDRDENTAL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | RHONDA |
| AGENT ATTORNEY FIRST NAME | RHONDA |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 50 CONGRESS STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 200 |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 6175425111.0 |
| AGENT ATTORNEY EMAIL ADDRESS | RT@RSSTLAWGROUP.COM |
| LAWFIRM NAME BUSINESS NAME | ROSS SILVERMAN SNYDER TIETJEN LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | MA SUPREME JUDICIAL COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 939 Wolcott Street |
| WORKSITE ADDRESS2 | Unit 5B |
| LCA CASE WORKLOC1 CITY | Waterbury |
| WORKSITE COUNTY | New Haven |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6705 |
| LCA CASE WAGE RATE FROM | 87.7 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 88.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
