| LCA CASE NUMBER | I-200-21102-215361 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-12 |
| DECISION DATE | 2021-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-22 |
| END DATE | 2024-07-21 |
| 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 | Selinsgrove Dental & Dentures Inc. |
| EMPLOYER ADDRESS1 | 2192 N Susquehanna Trail |
| EMPLOYER ADDRESS2 | Ste 200 |
| EMPLOYER CITY | Selinsgrove |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17870 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15707438000 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Tiranno |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS 1 | 2192 N Susquehanna Trail |
| EMPLOYER POC ADDRESS 2 | Ste 200 |
| EMPLOYER POC CITY | Selinsgrove |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17870 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17164002482 |
| EMPLOYER POC EMAIL | lisa@officedentalsupport.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Agostinelli |
| AGENT ATTORNEY FIRST NAME | Gabrielle |
| AGENT ATTORNEY MIDDLE NAME | Ernestine |
| AGENT ATTORNEY ADDRESS1 | 2300 Wehrle Drive |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166341010 |
| AGENT ATTORNEY EMAIL ADDRESS | gagost@usimmlawyer.com |
| LAWFIRM NAME BUSINESS NAME | Berardi Immigration Law |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NYS Court of Appeals 4th Dept |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2192 N Susquehanna Trail |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Selinsgrove |
| WORKSITE COUNTY | SNYDER |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17870 |
| LCA CASE WAGE RATE FROM | 187.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 122429 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Agostinelli |
| PREPARER FIRST NAME | Gabriella |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Berardi Immigration Law |
| PREPARER EMAIL | gagost@usimmlawyer.com |
