| LCA CASE NUMBER | I-200-21168-405100 |
| 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 | False |
| LCA CASE EMPLOYMENT START DATE | 2021-08-02 |
| END DATE | 2024-08-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Tam, Tang, Sham P.C. |
| TRADE NAME DBA | Waltham Dental Center |
| EMPLOYER ADDRESS1 | 85 River Street |
| EMPLOYER CITY | Waltham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2453 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17818917737 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Sham |
| EMPLOYER POC FIRST NAME | Chi Yun |
| EMPLOYER POC JOB TITLE | Treasurer |
| EMPLOYER POC ADDRESS 1 | 85 River Street |
| EMPLOYER POC CITY | Waltham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02453 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17818917737 |
| EMPLOYER POC EMAIL | sham_chi@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pan |
| AGENT ATTORNEY FIRST NAME | Yaran |
| AGENT ATTORNEY ADDRESS1 | 1661 Worcester Rd |
| AGENT ATTORNEY ADDRESS2 | Suite 103 |
| AGENT ATTORNEY CITY | Framingham |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 1701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15083096685 |
| AGENT ATTORNEY EMAIL ADDRESS | yaran@panlawyer.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Yaran Pan |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 85 River Street |
| LCA CASE WORKLOC1 CITY | Waltham |
| WORKSITE COUNTY | WALTHAM CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2453 |
| LCA CASE WAGE RATE FROM | 53.44 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 53.44 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
