| LCA CASE NUMBER | I-200-21111-244296 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-21 |
| DECISION DATE | 2021-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-05 |
| END DATE | 2023-09-04 |
| 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 | MB Dental Health Services, PA |
| TRADE NAME DBA | Smileline Dental |
| EMPLOYER ADDRESS1 | 1805 Miccosukee Commons Drive |
| EMPLOYER CITY | Tallahassee |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 32308 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18502223858 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | Baig |
| EMPLOYER POC FIRST NAME | Mohammed |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS 1 | 1805 Miccosukee Commons Drive |
| EMPLOYER POC CITY | Tallahassee |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 32308 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18502223858 |
| EMPLOYER POC EMAIL | drbaigmd@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ricci |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 2915 Kerry Forest Parkway |
| AGENT ATTORNEY ADDRESS2 | 104 |
| AGENT ATTORNEY CITY | Tallahassee |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 32309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18502244529 |
| AGENT ATTORNEY EMAIL ADDRESS | elizabeth@rambana.com |
| LAWFIRM NAME BUSINESS NAME | Rambana & Ricci, PLLC |
|
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1805 Miccosukee Commons Drive |
| LCA CASE WORKLOC1 CITY | Tallahassee |
| WORKSITE COUNTY | LEON |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32308 |
| LCA CASE WAGE RATE FROM | 141232 |
| LCA CASE WAGE RATE TO | 147784 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141232 |
| PW UNIT OF PAY | Year |
| 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 and Employment |
| PREPARER LAST NAME | Ricci |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Rambana & Ricci, PLLC |
| PREPARER EMAIL | elizabeth.ricci@rambana.com |
