| LCA CASE NUMBER | I-200-21138-323236 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-18 |
| DECISION DATE | 2021-05-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ASSOCIATE DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-26 |
| END DATE | 2024-07-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FOUNTAIN SQUARE WESTEND DENTAL LLC |
| EMPLOYER ADDRESS1 | 1535 PROSPECT STREET |
| EMPLOYER CITY | INDIANAPOLIS |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13179321000 |
| NAICS CODE | 339116 |
| EMPLOYER POC LAST NAME | MANDALIA |
| EMPLOYER POC FIRST NAME | POOJA |
| EMPLOYER POC JOB TITLE | OWNER |
| EMPLOYER POC ADDRESS 1 | 1535 PROSPECT STREET |
| EMPLOYER POC CITY | INDIANAPOLIS |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13179321000 |
| EMPLOYER POC EMAIL | KUNAL135@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nair |
| AGENT ATTORNEY FIRST NAME | Nandini |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 343 Thornall Street |
| AGENT ATTORNEY ADDRESS2 | 6th Floor, Suite 640 |
| AGENT ATTORNEY CITY | Edison |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 8837 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17324944800 |
| AGENT ATTORNEY EMAIL ADDRESS | nnairNJ@gmlaw.com |
| LAWFIRM NAME BUSINESS NAME | GREENSPOON MARDER LLP |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | NY Supreme Court; Third Department |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1535 Prospect Street |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46203 |
| LCA CASE WAGE RATE FROM | 169000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 157747 |
| 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 |
