| LCA CASE NUMBER | I-200-20303-892273 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-29 |
| DECISION DATE | 2020-11-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist, General |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-05 |
| END DATE | 2023-11-04 |
| 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 | Wayne Family Dental PLLC |
| TRADE NAME DBA | Village Dental |
| EMPLOYER ADDRESS1 | 35100 E. Michigan Ave. |
| EMPLOYER CITY | Wayne |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48184 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17347221617 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Saad |
| EMPLOYER POC FIRST NAME | Mohamed |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 35100 E. Michigan Ave. |
| EMPLOYER POC CITY | Wayne |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48184 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13134615282 |
| EMPLOYER POC EMAIL | mohamed@primedentistry.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | O'Neil |
| AGENT ATTORNEY FIRST NAME | Megan |
| AGENT ATTORNEY ADDRESS1 | 314 Town Center Drive |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12486800600 |
| AGENT ATTORNEY EMAIL ADDRESS | hvisa@piston.net |
| LAWFIRM NAME BUSINESS NAME | Piston & Carpenter P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 35100 E. Michigan Ave. |
| LCA CASE WORKLOC1 CITY | Wayne |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48184 |
| LCA CASE WAGE RATE FROM | 243375 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 243375 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Medical Group Management Association (MGMA) |
| PW SURVEY NAME | Medical Group Management Association: Provider Comp. Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bedard |
| PREPARER FIRST NAME | Denise |
| PREPARER BUSINESS NAME | Piston & Carpenter P.C. |
| PREPARER EMAIL | denise@piston.net |
