| LCA CASE NUMBER | I-200-20118-522059 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-27 |
| DECISION DATE | 2020-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-05 |
| END DATE | 2023-05-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Bloomfield Dental Care |
| EMPLOYER ADDRESS1 | 317 Cottage Grove Road |
| EMPLOYER CITY | Bloomfield |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6002 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18602166073 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Chavda |
| EMPLOYER POC FIRST NAME | Madhavi |
| EMPLOYER POC JOB TITLE | Secretary |
| EMPLOYER POC ADDRESS1 | 317 Cottage Grove Road |
| EMPLOYER POC CITY | Bloomfield |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6002 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18602166073 |
| EMPLOYER POC EMAIL | bloomfieldctdental@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chugh |
| AGENT ATTORNEY FIRST NAME | Navneet |
| AGENT ATTORNEY MIDDLE NAME | Singh |
| AGENT ATTORNEY ADDRESS1 | 15925 Carmenita Road |
| AGENT ATTORNEY CITY | Cerritos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90703 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15622291220.0 |
| AGENT ATTORNEY EMAIL ADDRESS | Jioselin.Juarez@chugh.com |
| LAWFIRM NAME BUSINESS NAME | Chugh, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 317 Cottage Grove |
| LCA CASE WORKLOC1 CITY | Bloomfield |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6002 |
| LCA CASE WAGE RATE FROM | 180000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127587.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Juarez |
| PREPARER FIRST NAME | Jioselin |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Chugh, LLP |
| PREPARER EMAIL | Jioselin.Juarez@Chugh.Com |
