| LCA CASE NUMBER | I-200-20205-731822 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-23 |
| DECISION DATE | 2020-07-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-04 |
| END DATE | 2023-08-03 |
| 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 | Innovative Dental Services P.C. |
| TRADE NAME DBA | Axcess Dental Group |
| EMPLOYER ADDRESS1 | 1535 SWEETBRIAR DR |
| EMPLOYER CITY | Jamison |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18929 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12154642610 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Kandov |
| EMPLOYER POC FIRST NAME | Olga |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 1535 SWEETBRIAR DR |
| EMPLOYER POC CITY | Jamison |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18929 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12154642610 |
| EMPLOYER POC EMAIL | fima@comcast.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Regev |
| AGENT ATTORNEY FIRST NAME | Eran |
| AGENT ATTORNEY ADDRESS1 | 1615 Northern Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 103 |
| AGENT ATTORNEY CITY | Manhasset |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11030 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15164720126.0 |
| AGENT ATTORNEY EMAIL ADDRESS | eregev@regevlaw.com |
| LAWFIRM NAME BUSINESS NAME | Regev Law PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5737 North Broad St |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19141 |
| LCA CASE WAGE RATE FROM | 87.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 67.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
