| LCA CASE NUMBER | I-200-21139-327637 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-19 |
| DECISION DATE | 2021-05-26 |
| 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 | 2021-10-01 |
| 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 | Willimantic Smiles, LLC |
| TRADE NAME DBA | Admire Dental |
| EMPLOYER ADDRESS1 | 720 Main St. |
| EMPLOYER CITY | Willimantic |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6226 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18608131803 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Rivera |
| EMPLOYER POC FIRST NAME | Elba |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS 1 | 360 Queen St., |
| EMPLOYER POC ADDRESS 2 | B205 |
| EMPLOYER POC CITY | Southington |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06489 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18608131803 |
| EMPLOYER POC EMAIL | elba.rivera@sabuska.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanna |
| AGENT ATTORNEY FIRST NAME | Rajiv |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 5225 Wilson Blvd. |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029091110 |
| AGENT ATTORNEY EMAIL ADDRESS | prerna@immigration.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Rajiv S. Khanna, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of VA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 720 Main St. |
| LCA CASE WORKLOC1 CITY | Willimantic |
| WORKSITE COUNTY | WINDHAM |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6226 |
| LCA CASE WAGE RATE FROM | 60 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 56.62 |
| PW UNIT OF PAY | Hour |
| 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 | Mehta |
| PREPARER FIRST NAME | Prerna |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Law Offices of Rajiv S. Khanna, PC |
| PREPARER EMAIL | prerna@immigration.com |
