| LCA CASE NUMBER | I-200-21123-281865 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-03 |
| DECISION DATE | 2021-05-10 |
| 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 | ASSOCIATES IN ORAL MAXILLOFACIAL SURGERY PC |
| TRADE NAME DBA | Balaci Dental Group |
| EMPLOYER ADDRESS1 | 860 TUCK ST |
| EMPLOYER CITY | LEBANON |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17178675088 |
| NAICS CODE | 621399 |
| EMPLOYER POC LAST NAME | GETZ |
| EMPLOYER POC FIRST NAME | LAURI |
| EMPLOYER POC JOB TITLE | OFFICE MANAGER |
| EMPLOYER POC ADDRESS 1 | 1 JASONS WAY |
| EMPLOYER POC CITY | ANNVILLE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17178675088 |
| EMPLOYER POC EMAIL | lauri.getz@balacidental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CHOI |
| AGENT ATTORNEY FIRST NAME | YUNSUNG |
| AGENT ATTORNEY ADDRESS1 | 36-26 UNION ST |
| AGENT ATTORNEY ADDRESS2 | FLOOR 3 |
| AGENT ATTORNEY CITY | FLUSHING |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11354 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17184602512 |
| AGENT ATTORNEY EMAIL ADDRESS | YSCHOID@HOTMAIL.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF YUNSUNG CHOI PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE APPELLATE COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | ASSOCIATES IN ORAL MAXILLOFACIAL SURGERY PC |
| WORKSITE ADDRESS1 | 1 JASONS WAY |
| LCA CASE WORKLOC1 CITY | ANNVILLE |
| WORKSITE COUNTY | LEBANON |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17003 |
| LCA CASE WAGE RATE FROM | 123178 |
| LCA CASE WAGE RATE TO | 123178.01 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123178 |
| 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 | CHOI |
| PREPARER FIRST NAME | YUNSUNG |
| PREPARER BUSINESS NAME | LAW OFFICE OF YUNSUNG CHOI PC |
| PREPARER EMAIL | YSCHOID@HOTMAIL.COM |
