| LCA CASE NUMBER | I-200-21084-175392 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-25 |
| DECISION DATE | 2021-04-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-29 |
| END DATE | 2024-03-28 |
| 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 | Advance Dental Care PC |
| EMPLOYER ADDRESS1 | 69 South Main Street |
| EMPLOYER CITY | West Hartford |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12143369767 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Gaddipati |
| EMPLOYER POC FIRST NAME | Nayaki |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 69 South Main Street |
| EMPLOYER POC CITY | West Hartford |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12143369767 |
| EMPLOYER POC EMAIL | nayakic@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wizner |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Lewis |
| AGENT ATTORNEY ADDRESS1 | 999 Asylum Ave., Suite 202 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6105 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602498100 |
| AGENT ATTORNEY EMAIL ADDRESS | awizner@lkwvisa.com |
| LAWFIRM NAME BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 69 South Main Street |
| LCA CASE WORKLOC1 CITY | West Hartford |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6107 |
| LCA CASE WAGE RATE FROM | 80 |
| LCA CASE WAGE RATE TO | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.7 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | Zhu |
| PREPARER FIRST NAME | Yunli |
| PREPARER BUSINESS NAME | Leete, Kosto and Wizner, LLP |
| PREPARER EMAIL | jzhu@lkwvisa.com |
