| LCA CASE NUMBER | I-200-21167-402604 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-16 |
| DECISION DATE | 2021-06-24 |
| 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 | 2021-09-13 |
| END DATE | 2024-09-12 |
| 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 | The Primary Health Network |
| EMPLOYER ADDRESS1 | 63 Pitt Street |
| EMPLOYER CITY | Sharon |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16146 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17244569762 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Adamson |
| EMPLOYER POC FIRST NAME | Tina |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS 1 | 63 Pitt Street |
| EMPLOYER POC CITY | Sharon |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16146 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17244569762 |
| EMPLOYER POC EMAIL | tadamson@primary-health.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wadhwani |
| AGENT ATTORNEY FIRST NAME | Catherine |
| AGENT ATTORNEY MIDDLE NAME | V. |
| AGENT ATTORNEY ADDRESS1 | BNY Mellon Center, 500 Grant Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123945540 |
| AGENT ATTORNEY EMAIL ADDRESS | cwadhwani@foxrothschild.com |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
| STATE OF HIGHEST COURT | PA |
|
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Lewistown Dental Center |
| WORKSITE ADDRESS2 | 106 Derry Heights Blvd. |
| LCA CASE WORKLOC1 CITY | Yeagertown |
| WORKSITE COUNTY | MIFFLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17099 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 82285 |
| 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 | Wadhwani |
| PREPARER FIRST NAME | Catherine |
| PREPARER MIDDLE INITIAL | V |
| PREPARER BUSINESS NAME | Fox Rothschild LLP |
| PREPARER EMAIL | cwadhwani@foxrothschild.com |
