| LCA CASE NUMBER | I-200-21173-417291 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-22 |
| DECISION DATE | 2021-06-29 |
| 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 | 2021-06-28 |
| END DATE | 2024-06-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Columbia Dental, P.C. |
| EMPLOYER ADDRESS1 | 483 Middle Turnpike |
| EMPLOYER ADDRESS2 | Suite 309 |
| EMPLOYER CITY | Manchester |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6040 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18606450111 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | MOHAMMADI |
| EMPLOYER POC FIRST NAME | Abbas |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS 1 | 483 Middle Turnpike |
| EMPLOYER POC ADDRESS 2 | Suite 309 |
| EMPLOYER POC CITY | Manchester |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 06040 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18606450111 |
| EMPLOYER POC EMAIL | abbas.mohammadi@columbiadental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BUCIN |
| AGENT ATTORNEY FIRST NAME | Dana |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 280 Trumbull Street |
| AGENT ATTORNEY ADDRESS2 | Floor 12 |
| AGENT ATTORNEY CITY | Hartford |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18602406081 |
| AGENT ATTORNEY EMAIL ADDRESS | dbucin@murthalaw.com |
|
| LAWFIRM NAME BUSINESS NAME | Murtha Cullina LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 483 Middle Turnpike W |
| WORKSITE ADDRESS2 | Suite 309 |
| LCA CASE WORKLOC1 CITY | Manchester |
| WORKSITE COUNTY | MANCHESTER |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6040 |
| LCA CASE WAGE RATE FROM | 125 |
| 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 |
