| LCA CASE NUMBER | I-200-20154-619025 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-02 |
| DECISION DATE | 2020-06-09 |
| 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 | 2020-07-15 |
| END DATE | 2023-07-15 |
| 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 | Creative Smiles Dental Care PLLC |
| EMPLOYER ADDRESS1 | 907 Main St |
| EMPLOYER CITY | Brockton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15085881400 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Malaviya |
| EMPLOYER POC FIRST NAME | Purveshkumar |
| EMPLOYER POC JOB TITLE | Member |
| EMPLOYER POC ADDRESS1 | 907 Main St |
| EMPLOYER POC CITY | Brockton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15085881400 |
| EMPLOYER POC EMAIL | csdcpllc@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SHANKAR |
| AGENT ATTORNEY FIRST NAME | SWEEKRUTHA |
| AGENT ATTORNEY ADDRESS1 | 875 SIXTH AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 1810 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125946657.0 |
| AGENT ATTORNEY EMAIL ADDRESS | H1B@SHANKARNINAN.COM |
| LAWFIRM NAME BUSINESS NAME | SHANKAR NINAN & CO., LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 907 Main St. |
| LCA CASE WORKLOC1 CITY | Brockton |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2301 |
| LCA CASE WAGE RATE FROM | 150000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 144248.0 |
| 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 | Shankar |
| PREPARER FIRST NAME | Sweekrutha |
| PREPARER BUSINESS NAME | Shankar Ninan & Co., LLP |
| PREPARER EMAIL | h1b@shankarninan.com |
