| LCA CASE NUMBER | I-200-21117-260083 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-26 |
| DECISION DATE | 2021-05-03 |
| 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 | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | PROFESSIONAL DENTAL ALLIANCE |
| EMPLOYER ADDRESS1 | 11 SOUTH MILL STREET |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | NEW CASTLE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17246989825 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | SLOAN |
| EMPLOYER POC FIRST NAME | KIMBERLY |
| EMPLOYER POC JOB TITLE | HR MANAGER |
| EMPLOYER POC ADDRESS 1 | 11 SOUTH MILL STREET |
| EMPLOYER POC ADDRESS 2 | STE 200 |
| EMPLOYER POC CITY | NEW CASTLE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17246989825 |
| EMPLOYER POC EMAIL | sloank@nadentalgroup.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BROWN |
| AGENT ATTORNEY FIRST NAME | ERIN |
| AGENT ATTORNEY MIDDLE NAME | PATRICE |
| AGENT ATTORNEY ADDRESS1 | 1468 W 9TH STREET |
| AGENT ATTORNEY ADDRESS2 | STE 705 |
| AGENT ATTORNEY CITY | CLEVELAND |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44113 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168614414 |
| AGENT ATTORNEY EMAIL ADDRESS | EBROWN@RBROWNLLC.COM |
| LAWFIRM NAME BUSINESS NAME | ROBERT BROWN LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OHIO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7768 OZARK DRIVE |
| WORKSITE ADDRESS2 | SUITE 200 |
| LCA CASE WORKLOC1 CITY | JACKSONVILLE |
| WORKSITE COUNTY | DUVAL |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32256 |
| LCA CASE WAGE RATE FROM | 109741 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109741 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
