| LCA CASE NUMBER | I-200-20148-603564 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-27 |
| DECISION DATE | 2020-06-03 |
| 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 | 2020-08-25 |
| END DATE | 2023-08-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Columbia Dental, P.C. |
| EMPLOYER ADDRESS1 | 483 Middle Turnpike West, Suite 309 |
| EMPLOYER CITY | Manchester |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6040 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18606450111 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Belisle |
| EMPLOYER POC FIRST NAME | Raymond |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 483 Middle Turnpike West, Suite 309 |
| EMPLOYER POC CITY | Manchester |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6040 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18606450111 |
| EMPLOYER POC EMAIL | corpadmin@columbiadental.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mooney, Esq. |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 7606 Transit Road, Suite 200 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166897770.0 |
| AGENT ATTORNEY PHONE EXT | 103.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rmooney@malikpopiel.com |
| LAWFIRM NAME BUSINESS NAME | Malik & Popiel, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 366 Middle Tpke W |
| LCA CASE WORKLOC1 CITY | Manchester |
| WORKSITE COUNTY | MANCHESTER |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6040 |
| LCA CASE WAGE RATE FROM | 90000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 72821.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Mooney |
| PREPARER FIRST NAME | Ryan |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Malik & Popiel, P.C. |
| PREPARER EMAIL | rmooney@malikpopiel.com |
