| LCA CASE NUMBER | I-200-21055-097169 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-23 |
| DECISION DATE | 2021-03-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-27 |
| END DATE | 2024-03-26 |
| 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 | BRASS MILL MALL DENTAL, P.C. |
| EMPLOYER ADDRESS1 | 495 UNION STREET |
| EMPLOYER CITY | WATERBURY |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6706 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12035742121 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | KRASNOV |
| EMPLOYER POC FIRST NAME | ROSTISLAV |
| EMPLOYER POC JOB TITLE | PARTNER |
| EMPLOYER POC ADDRESS 1 | 495 UNION STREET |
| EMPLOYER POC CITY | WATERBURY |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06706 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19179029515 |
| EMPLOYER POC EMAIL | rkrasnov@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DUTTON |
| AGENT ATTORNEY FIRST NAME | ANDREW |
| AGENT ATTORNEY ADDRESS1 | 243 NEW HYDE PARK ROAD |
| AGENT ATTORNEY CITY | GARDEN CITY |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670 |
| AGENT ATTORNEY EMAIL ADDRESS | adutton@andrewduttonlaw.com |
| LAWFIRM NAME BUSINESS NAME | ANDREW DUTTON, ESQ., P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
|
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 495 UNION STREET |
| LCA CASE WORKLOC1 CITY | WATERBURY |
| WORKSITE COUNTY | WATERBURY CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6706 |
| LCA CASE WAGE RATE FROM | 86.08 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 86.08 |
| 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 | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
