| LCA CASE NUMBER | I-200-20076-411097 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-01 |
| END DATE | 2021-03-31 |
| 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 | Tilden Family Dental P.C. |
| EMPLOYER ADDRESS1 | 5624 Tilden Ave |
| EMPLOYER CITY | Brooklyn |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17184515012 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Davis |
| EMPLOYER POC FIRST NAME | Curtis |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 5624 Tilden Ave |
| EMPLOYER POC CITY | Brooklyn |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17184515012 |
| EMPLOYER POC EMAIL | tildenfamilydental@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Syed |
| AGENT ATTORNEY FIRST NAME | Habeeb |
| AGENT ATTORNEY ADDRESS1 | 100 Daingerfield Ave |
| AGENT ATTORNEY ADDRESS2 | STE 101 |
| AGENT ATTORNEY CITY | Alexandria |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22314 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17035952836.0 |
| AGENT ATTORNEY PHONE EXT | 104.0 |
| AGENT ATTORNEY EMAIL ADDRESS | hsyed@bjkanglaw.com |
| LAWFIRM NAME BUSINESS NAME | B.J. Kang Law, P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5624 Tilden Ave |
| LCA CASE WORKLOC1 CITY | Brooklyn |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11203 |
| LCA CASE WAGE RATE FROM | 3400.0 |
| LCA CASE WAGE RATE UNIT | Week |
| PREVAILING WAGE | 2586.8 |
| PW UNIT OF PAY | Week |
| 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 Employment |
