| LCA CASE NUMBER | I-200-21055-097859 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-24 |
| DECISION DATE | 2021-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-08 |
| END DATE | 2024-03-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Albans Dental PLC |
| EMPLOYER ADDRESS1 | 34 Mapleville Depot Road |
| EMPLOYER CITY | St. Albans City |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 5478 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18025244844 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Aten |
| EMPLOYER POC FIRST NAME | Tyler |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 34 Mapleville Depot Road |
| EMPLOYER POC CITY | St. Albans City |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 05478 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18025244844 |
| EMPLOYER POC EMAIL | tyler.aten@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ahern |
| AGENT ATTORNEY FIRST NAME | Allison |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | One Boston Place |
| AGENT ATTORNEY ADDRESS2 | 37th Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16175893836 |
| AGENT ATTORNEY EMAIL ADDRESS | aahernfillo@davismalm.com |
| LAWFIRM NAME BUSINESS NAME | Davis, Malm & D'Agostine, P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 34 Mapleville Depot Road |
| LCA CASE WORKLOC1 CITY | St. Albans City |
| WORKSITE COUNTY | ST ALBANS CITY |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 5478 |
| LCA CASE WAGE RATE FROM | 90.14 |
| LCA CASE WAGE RATE TO | 180.29 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 85.6 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
