| LCA CASE NUMBER | I-200-20281-866303 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-07 |
| DECISION DATE | 2020-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-23 |
| END DATE | 2023-10-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KOOROSH SHAMTOUB DDS PC |
| TRADE NAME DBA | CANARSIE FAMILY DENTISTRY |
| EMPLOYER ADDRESS1 | 9413 FLATLANDS AVE. |
| EMPLOYER ADDRESS2 | Suite 102W |
| EMPLOYER CITY | BROOKLYN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11236 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17182570300 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | SHAMTOUB |
| EMPLOYER POC FIRST NAME | Dr. KOOROSH |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS 1 | 9413 FLATLANDS AVE. |
| EMPLOYER POC ADDRESS 2 | STE 102W |
| EMPLOYER POC CITY | BROOKLYN |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11236 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17182570300 |
| EMPLOYER POC EMAIL | 2KSDDS@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gupta |
| AGENT ATTORNEY FIRST NAME | S.K. |
| AGENT ATTORNEY ADDRESS1 | 12 BRIDGE STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE C-12 |
| AGENT ATTORNEY CITY | METUCHEN |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8840 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17327261137 |
| AGENT ATTORNEY EMAIL ADDRESS | skgupta@skgupta.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF S.K. GUPTA, P.C. |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9413 FLATLANDS AVE |
| WORKSITE ADDRESS2 | STE 102W |
| LCA CASE WORKLOC1 CITY | BROOKLYN |
| WORKSITE COUNTY | KINGS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11236 |
| LCA CASE WAGE RATE FROM | 138000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 137051 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
