| LCA CASE NUMBER | I-200-21117-262803 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2022-01-11 |
| ORIGINAL CERT DATE | 2021-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist (Specialist) |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-05-04 |
| END DATE | 2024-05-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Specialist Care Endodontics |
| EMPLOYER ADDRESS1 | 1964 Gallows Road |
| EMPLOYER ADDRESS2 | Ste. 220 |
| EMPLOYER CITY | Vienna |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22182 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17036509990 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Blair |
| EMPLOYER POC FIRST NAME | Barbara |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 1964 Gallows Road |
| EMPLOYER POC ADDRESS2 | Ste. 220 |
| EMPLOYER POC CITY | Vienna |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22182 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17036509990 |
| EMPLOYER POC EMAIL | info@specialistcareendo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Akkam |
| AGENT ATTORNEY FIRST NAME | Scarlett |
| AGENT ATTORNEY MIDDLE NAME | June |
| AGENT ATTORNEY ADDRESS1 | 7031 Orchard Lake Road |
| AGENT ATTORNEY ADDRESS2 | Suite 302 |
| AGENT ATTORNEY CITY | West Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48322 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MI |
| AGENT ATTORNEY PHONE | 12488653331 |
| AGENT ATTORNEY EMAIL ADDRESS | scarlett@insvisa.com |
| LAWFIRM NAME BUSINESS NAME | Joseph Kallabat & Associates, P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1964 Gallows Rd. |
| WORKSITE ADDRESS2 | Ste. 220A |
| LCA CASE WORKLOC1 CITY | Vienna |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22182 |
| LCA CASE WAGE RATE FROM | 68.93 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 68.93 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
