| LCA CASE NUMBER | I-200-21102-216530 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-12 |
| DECISION DATE | 2021-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-25 |
| END DATE | 2024-06-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Central Maine Dental PC |
| TRADE NAME DBA | Androscoggin Dental Group |
| EMPLOYER ADDRESS1 | 488 Sabattus Street |
| EMPLOYER CITY | Lewiston |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4240 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16177210707 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Guze |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC JOB TITLE | DMD Owner |
| EMPLOYER POC ADDRESS 1 | 488 Sabattus Street |
| EMPLOYER POC CITY | Lewiston |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16177210707 |
| EMPLOYER POC EMAIL | kevin@workwelldentalmanagement.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Malik |
| AGENT ATTORNEY FIRST NAME | Shilpa |
| AGENT ATTORNEY ADDRESS1 | 800 Corporate Drive, Suite 206 |
| AGENT ATTORNEY CITY | Fort Lauderdale |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33334 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15616559377 |
| AGENT ATTORNEY EMAIL ADDRESS | info@immi-usa.com |
| LAWFIRM NAME BUSINESS NAME | SGM Law Group PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | U.S. Court of Appeals |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 488 Sabattus Street |
| LCA CASE WORKLOC1 CITY | Lewiston |
| WORKSITE COUNTY | AUBURN CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4240 |
| LCA CASE WAGE RATE FROM | 165000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 149074 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
