| LCA CASE NUMBER | I-200-21088-181867 |
| STATUS | Denied |
| LCA CASE SUBMIT | 2021-03-29 |
| DECISION DATE | 2021-04-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Limited Licensed Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | Brockton Neighborhood Health Center |
| EMPLOYER ADDRESS1 | 63 Main Street |
| EMPLOYER CITY | Brockton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15085996699 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Joss |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 63 Main Street |
| EMPLOYER POC CITY | Brockton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15088943203 |
| EMPLOYER POC EMAIL | josss@bnhc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanbabai |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 115 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1B |
| AGENT ATTORNEY CITY | NORTH EASTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2356 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15082972065 |
| AGENT ATTORNEY EMAIL ADDRESS | mahsa@mk-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Khanbabai Immigration Law |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 63 Main Street |
| LCA CASE WORKLOC1 CITY | Brockton |
| WORKSITE COUNTY | BROCKTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2301 |
| LCA CASE WAGE RATE FROM | 91520 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91520 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019 |
| PW SURVEY PUBLISHER | MA League CHC |
| PW SURVEY NAME | Physician Disciplines- 2019 Compensation Survey |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Khanbabai |
| PREPARER FIRST NAME | Mahsa |
| PREPARER BUSINESS NAME | Khanbabai Immigration Law |
| PREPARER EMAIL | mahsa@mk-immigration.com |
